Edwin Tak-Wing Chan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A66464 Issued in CA

Practice address

624 W Duarte Rd
Suite 208
Arcadia, CA 91007-7603

Phone

(626) 446-3608

Fax

(626) 446-3817

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edwin Tak Wing Chan Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Edwin Chan MD Inc

  • Medical Specialty Clinic/Center
  • Arcadia, CA
  • NPI 1922141217

  Family Medicine

  NPD Authorized official
• Peter Yang Ma Medical Inc

  • Primary Care Clinic/Center
  • Arcadia, CA
  • NPI 1184871345
  NPD
• Ahmc Garfield Medical Center LP

  dba Garfield Medical Center

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Ahmc San Gabriel Valley Medical

  dba AHMC San Gabriel Valley Medical Center

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818
  NPD (past)
• Usc Arcadia Hospital

  • Rehabilitation Hospital Unit
  • Arcadia, CA
  • NPI 1164410593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1053427427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD",
            "address_2": "208",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077603",
            "telephone_number": "626-446-3608",
            "fax_number": "626-446-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD",
            "address_2": "SUITE 208",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077603",
            "telephone_number": "626-446-3608",
            "fax_number": "626-446-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "EDWIN",
        "middle_name": "TAK-WING",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A66464",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "CHAN",
            "middle_name": "TAK WING",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sabrina Cham, M.S., M.A.
• Angelene Chan, PHARM.D.
• Chan, Chan and Cheng, DDS, Inc
• Cordelia W Chan, PHARM D
• Cristina Guadalupe Chan
• Franklin Anteola Chan, PT
• Garry Chan, PHARM.D.
• Gary Chan
• Jeffery Chan
• Jim Chiyeung Chan, O.D.

• Family Medicine Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.