Individual provider Active NPI

Wing Chiu Chan, M.D.

  • Anesthesiology Physician
  • Alhambra, CA
National Provider Identifier
1083775233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G56121 Issued in CA
Practice address
1668 S Garfield Ave # 100
Alhambra, CA 91801-5413
Phone
(626) 308-9000
Fax
(626) 441-7316
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G56121 CA Primary

Addresses

Primary practice location

1668 S Garfield Ave # 100
Alhambra, CA 91801-5413

Mailing address

PO Box 1754
Monterey Park, CA 91754-8754
Phone (626) 573-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120702000039 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 0749277291 Practice locations: Alhambra, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G56121CAMDAnesthesiology Physician

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Morpheus Anesthesia Medical Corporation Anesthesiology Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083775233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917548754",
            "telephone_number": "626-573-4046",
            "fax_number": "626-441-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 S GARFIELD AVE # 100",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015413",
            "telephone_number": "626-308-9000",
            "fax_number": "626-441-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "WING",
        "middle_name": "CHIU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G56121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.