Roxanne Chan, MD Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A82201 Issued in CA

Legal business name

ROXANNE CHAN, MD INC

Practice address

15332 Antioch St
PMB #212
Pacific Palisades, CA 90272-3628

Phone

(310) 456-7828

Fax

(310) 388-3089

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roxanne Chan, MD

Title

President

Phone

(310) 456-7828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1073784153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 ANTIOCH ST",
            "address_2": "PMB #212",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723628",
            "telephone_number": "310-456-7828",
            "fax_number": "310-388-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15332 ANTIOCH ST",
            "address_2": "PMB #212",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723628",
            "telephone_number": "310-456-7828",
            "fax_number": "310-388-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE CHAN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-456-7828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A82201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A822010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Rodriguez
• Rhona Rosenblatt
• Jane Roth
• Rose-Emily Rothenberg, MFT
• Leslie Rottman, LMFT
• Samantha Rozic, P.T.
• Jessica Bernstein Sacher, RN, IBCLC
• Robert L . Saltzman, M.D. INC.
• Preetpal Sandhu, M.D.
• Santa Monica Bay Area Physicians

• Diagnostic Radiology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.