Constant K.S. Chan M.D. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A40174 Issued in CA

Legal business name

CONSTANT K.S. CHAN M.D. INC.

Practice address

10007 State St
Lynwood, CA 90262-1514

Phone

(323) 566-3157

Fax

(323) 566-2676

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Constant K.S. Chan, M.D.NPI 1730195645

Title

President

Phone

(323) 566-3157

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Constant K.S. Chan, M.D.

  • Family Medicine Physician
  • Lynwood, CA
  • NPI 1730195645
  Medicare reassignment Authorized official
• Michael Flores

  • Physician Assistant
  • Lynwood, CA
  • NPI 1427503515
  NPD
• Duy Tu Doan, PA-C

  • Physician Assistant
  • Lynwood, CA
  • NPI 1053516187
  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1225347438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 STATE ST",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902621514",
            "telephone_number": "323-566-3157",
            "fax_number": "323-566-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 STATE ST",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902621514",
            "telephone_number": "323-566-3157",
            "fax_number": "323-566-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANT K.S. CHAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CONSTANT",
        "authorized_official_middle_name": "K.S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-566-3157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A40174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A401740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarence M. Hyshaw/Mid-City Ortho & Neuro Supply
• Joshela Clark
• Clinica Familiar San Lucas
• Jessica Joan Colas
• Brian Anthony Columna
• Berenice Contreras, MSW
• Fabby Badillo Contreras
• Kenyatta Raychelle Conway
• Coral Oaks Care Living, Inc
• Shaina Corbett, LVN

• Primary Care Clinic/Center in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.