Active NPI
Eliane Chan
- Physical Therapist
- Escondido, CA
National Provider Identifier
1043804974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39855
- Practice address
- 100 Holland GLN
Escondido, CA 92026-1354 - Phone
- (760) 746-2500
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39855 | CA | Primary |
Addresses
Primary practice location
100 Holland GLN
Escondido, CA 92026-1354
Mailing address
39471 Cozumel CT
Murrieta, CA 92563-2552
Phone (951) 239-7425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowbrook Village Christian Retirement Community | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Escondido, CA
- NPI 1437520400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1043804974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39471 COZUMEL CT",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632552",
"telephone_number": "951-239-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOLLAND GLN",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920261354",
"telephone_number": "760-746-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ELIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.