Chanwell Medical Group, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A35593 Issued in CA

Legal business name

CHANWELL MEDICAL GROUP, INC.

Practice address

2690 South White Road
Suite 10
San Jose, CA 95148-2075

Phone

(408) 270-8668

Fax

(408) 270-8669

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Estrellita L Chan, M.D.

Title

Vice President

Phone

(408) 270-8668

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hui Bettencourt, PA

  • Physician Assistant
  • San Jose, CA
  • NPI 1598795791
  NPD (past)
• Helen Feng, MD

  • Rheumatology Physician
  • San Jose, CA
  • NPI 1629174149
  NPD (past)
• Olivia Yan-Shui Hsia, M.D.

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1518092857
  NPD (past)
• Lei Jiang

  • Physician Assistant
  • Milpitas, CA
  • NPI 1487986949
  NPD (past)
• Victor Jose Arevalo Meceda, M.D.

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1558698829
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1194747147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 LUNDY AVE",
            "address_2": "SUITE 174",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311837",
            "telephone_number": "408-436-5588",
            "fax_number": "408-436-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 SOUTH WHITE ROAD",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482075",
            "telephone_number": "408-270-8668",
            "fax_number": "408-270-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANWELL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ESTRELLITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-270-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Change With ABA
• Changndds, Inc
• No Givne Name Chanpreetsingh
• Adelyna Tuyet-Nhi Chanthakone
• Chanwell Medical Group, Inc.
• Bryant Chao, RBT
• Jason Chao, PHARMD
• Nan Chao
• Philip T Chao, D.C
• Raymond Chao

• Cardiovascular Disease Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.