Clayton Chan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD - 8451 Issued in HI

Practice address

45-1144 Kamehameha Hwy
Ste 300
Kaneohe, HI 96744-3245

Phone

(808) 371-1311

NPI assigned

Nov 5, 2006

Last updated

Mar 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clayton.chan@hawaiihie.medicity.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C. Kimo Chan, M.D., LLC

  • Child & Adolescent Psychiatry Physician
  • Kaneohe, HI
  • NPI 1063740470
  Medicare reassignment NPD
• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1457304966
  Medicare reassignment NPD
• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1235908831
  NPD

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1144309576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "STE 300",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443245",
            "telephone_number": "808-371-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "STE 300",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443245",
            "telephone_number": "808-371-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD - 8451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BCBS",
            "identifier": "A20679-5",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Castle Medical Center
• Castle Medical Center (Adventist Health Castle)
• Iris A Castro, PTA
• Lindsay Cavanagh, PHD
• Hiwot Abayneh Cavell
• Kari Jeane Yuko Chang Moses, O.D.
• Bianca Hailey Chang, BCBA, LBA
• Cary Kealiiolani Chang, D.D.S.
• Kelsey K Chang, RPH
• Melvin K. Chang, M.D.

• Psychiatry Physician in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.