NPIMap

Organization Active NPI

Eric S.P. Chan, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Monterey Park, CA
National Provider Identifier
1053644021
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A51580 Issued in CA
Legal business name
ERIC S.P. CHAN, M.D., INC.
Practice address
600 N Garfield Ave
312
Monterey Park, CA 91754-1171
Phone
(626) 927-0874
Fax
(626) 927-0875
NPI assigned
Sep 9, 2009
Last updated
Oct 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Eric Siu Ping Chan, M.D.NPI 1780773044
Title
Physician
Phone
(626) 927-0874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A51580 CA Primary

Addresses

Primary practice location

600 N Garfield Ave
312
Monterey Park, CA 91754-1171

Mailing address

600 N Garfield Ave
312
Monterey Park, CA 91754-1171
Phone (626) 927-0874

Other identifiers 1

IdentifierTypeStateIssuer
00A515800OtherCAMEDI-CAL LICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1053644021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "312",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541171",
            "telephone_number": "626-927-0874",
            "fax_number": "626-927-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "312",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541171",
            "telephone_number": "626-927-0874",
            "fax_number": "626-927-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S.P. CHAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SIU PING",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-927-0874",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A51580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL LICENSE NUMBER",
            "identifier": "00A515800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.