Roger Chan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G73468 Issued in CA

Practice address

8150 Garvey Ave
Suite 103a
Rosemead, CA 91770-2472

Phone

(626) 288-8759

Fax

(626) 573-8597

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Supervision Optometry Inc

  • Optometrist
  • West Covina, CA
  • NPI 1194998443
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1104965375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2113",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917707213",
            "telephone_number": "626-288-8759",
            "fax_number": "626-573-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 GARVEY AVE",
            "address_2": "SUITE 103A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702472",
            "telephone_number": "626-288-8759",
            "fax_number": "626-573-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G73468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G734680",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G734681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Chan, OD
• Joan Li-Jan Chan, BS, DDS
• Karen Chan
• Kevin Chan, DPT
• Peter Wing Kwong Chan, PHARMD
• Wing See Vivian Chan, MFT-INTERN
• Yee Chan
• Alan Chang, ACUPUNCTURIST
• Paul S Chang, DDS
• Yu Chu Chang

• Ophthalmology Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.