Organization Active NPI

Chann & Chann MD Professional Corp

  • Cardiovascular Disease Physician
  • Fresno, CA
National Provider Identifier
1295807089
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CHANN & CHANN MD PROFESSIONAL CORP
Practice address
6089 N 1St
St 102
Fresno, CA 93710
Phone
(559) 449-9100
Fax
(559) 449-9440
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Harcharn S Chann, MDNPI 1962429753
Title
President Chann & Chann MD PC
Phone
(559) 449-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X CA Primary

Addresses

Primary practice location

6089 N 1St
St 102
Fresno, CA 93710

Mailing address

6089 N 1St
St 102
Fresno, CA 93710
Phone (559) 449-9100

Other names 1

  • Cardiac Core Physicians Med Grp Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000775 CA Part B Supplier - Clinic/Group Practice 3870654387 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295807089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6089 N 1ST",
            "address_2": "ST 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-449-9100",
            "fax_number": "559-449-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6089 N 1ST",
            "address_2": "ST 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-449-9100",
            "fax_number": "559-449-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANN & CHANN MD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHANN",
        "authorized_official_first_name": "HARCHARN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT CHANN & CHANN MD PC",
        "authorized_official_telephone_number": "559-449-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Core Physicians Med Grp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.