Active NPI
David Mathias Chan, L. AC.
- Acupuncturist
- Garden Grove, CA
National Provider Identifier
1235348251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC2464
- Practice address
- 12062 Valley View St
Suite 225a
Garden Grove, CA 92845-1737 - Phone
- (714) 379-5215
- Fax
- (714) 379-5216
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC2464 | CA | Primary |
Addresses
Primary practice location
12062 Valley View St
Suite 225a
Garden Grove, CA 92845-1737
Mailing address
14091 Tiffany Dr
Westminster, CA 92683-4666
Phone (714) 373-2205
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC2464 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235348251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14091 TIFFANY DR",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834666",
"telephone_number": "714-373-2205",
"fax_number": "714-373-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12062 VALLEY VIEW ST",
"address_2": "SUITE 225A",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928451737",
"telephone_number": "714-379-5215",
"fax_number": "714-379-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "DAVID",
"middle_name": "MATHIAS",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC2464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, 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.