Robert Chan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40896 Issued in CA

Practice address

420A San Mateo Ave
San Bruno, CA 94066-4417

Phone

(415) 990-3106

NPI assigned

Dec 19, 2013

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Body Rehab Center

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1215153747
  NPD (past)
• Crossover Health Medical Group

  • Multi-Specialty Clinic/Center
  • San Francisco, CA
  • NPI 1902313174
  NPD (past)
• University of California San Francisco

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1992818256
  NPD (past)

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1164843090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420A SAN MATEO AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664417",
            "telephone_number": "415-990-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420A SAN MATEO AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664417",
            "telephone_number": "415-990-3106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Ralston Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "CA",
            "postal_code": "940022869",
            "country_code": "US",
            "telephone_number": "650-363-5668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrinna Chan
• Darwin Chan, DDS
• Honestie Boupha Chan
• Johnmer Manandeg Chan, PT
• Lauren Elizabeth Chan, DMD
• Skylar-Laurita Alfonso Chan
• Rachel Yewon Chang
• Jada Faye Chappel
• Zahra Charley
• Sherilyn Chau, OTR/L

• Physical Therapist in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.