Active NPI
Darwin Chan, DDS
- General Practice Dentistry
- San Bruno, CA
National Provider Identifier
1235344466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34682
- Practice address
- 1150 El Camino Real
Suite #128
San Bruno, CA 94066-2420 - Phone
- (650) 873-8888
- Fax
- (650) 873-8787
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34682 | CA | Primary |
Addresses
Primary practice location
1150 El Camino Real
Suite #128
San Bruno, CA 94066-2420
Mailing address
1150 El Camino Real
San Bruno,, CA 94066
Phone (650) 873-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin J. Hoo, D.D.S. a Professional Dental Corp. | General Practice | Past | Accepting new patients |
| Chan and Hoo Dental Corp. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- San Bruno, CA
- NPI 1528109204
-
- General Practice Dentistry
- San Bruno, CA
- NPI 1114149846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235344466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 EL CAMINO REAL",
"city": "SAN BRUNO,",
"state": "CA",
"postal_code": "94066",
"telephone_number": "650-873-8888",
"fax_number": "650-873-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 EL CAMINO REAL",
"address_2": "SUITE #128",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662420",
"telephone_number": "650-873-8888",
"fax_number": "650-873-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "DARWIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.