Active NPI
Esmond Ka-Wai Chan, M.D.
- Radiation Oncology Physician
- Salinas, CA
National Provider Identifier
1083612626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G38329
- Practice address
- 1069 Los Palos Dr
Salinas, CA 93901 - Phone
- (831) 758-2724
- Fax
- (831) 758-1531
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G38329 | CA | Primary |
Addresses
Primary practice location
1069 Los Palos Dr
Salinas, CA 93901
Mailing address
Dept 9697
Los Angeles, CA 90084-9697
Phone (949) 721-6520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G383290 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G38329 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Radiation Oncology Medical Group Inc | Radiation Oncology | Past | Accepting new patients |
| County of Ventura | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Lompoc, CA
- NPI 1922038173
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1083612626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 9697",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900849697",
"telephone_number": "949-721-6520",
"fax_number": "949-721-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1069 LOS PALOS DR",
"city": "SALINAS",
"state": "CA",
"postal_code": "93901",
"telephone_number": "831-758-2724",
"fax_number": "831-758-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ESMOND",
"middle_name": "KA-WAI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G38329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G383290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.