Active NPI
Anita Chan
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1093100810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH56571
- Practice address
- 2010 Zonal Ave
Lac Usc Medical Center
Los Angeles, CA 90033-1026 - Phone
- (323) 409-5091
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH56571 | CA | Primary |
Addresses
Primary practice location
2010 Zonal Ave
Lac Usc Medical Center
Los Angeles, CA 90033-1026
Mailing address
PO Box 401
Alhambra, CA 91802-0401
Phone (323) 409-5091
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH56571 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1093100810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 401",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918020401",
"telephone_number": "323-409-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ZONAL AVE",
"address_2": "LAC USC MEDICAL CENTER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331026",
"telephone_number": "323-409-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ANITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH56571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.