Carney Chan MD PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CARNEY CHAN MD PC

Practice address

2220 Lynn Rd Ste 102
Thousand Oaks, CA 91360-8017

Phone

(805) 496-9727

Fax

(805) 496-9148

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Andrea Warnke

Title

Billing Manager

Phone

(805) 210-2219

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Carney Chan, MD

  • Vascular Surgery Physician
  • Thousand Oaks, CA
  • NPI 1649611807
  Medicare reassignment NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1245963297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608017",
            "telephone_number": "805-496-9727",
            "fax_number": "805-496-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608017",
            "telephone_number": "805-496-9727",
            "fax_number": "805-496-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEY CHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "WARNKE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "805-210-2219"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glennon T Carevic
• Vanessa Carias
• Christy Carlson
• Channah Carmi, PA-C
• Tabitha Carnevale, RN, BSN, FNP
• Cheryl Jean Carnine, LMFT
• Savita Veronica Carothers, LMFT
• Denise Carranza
• Ericka Carrick, LMFT
• Carrier United, Inc.

• Vascular Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.