Individual provider Active NPI

Chester Chow Quan, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1336162171
Registry record updated Jan 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7739T Issued in CA
Practice address
1551 Sloat Blvd
San Francisco, CA 94132-1222
Phone
(415) 753-5338
Fax
(415) 753-0978
NPI assigned
Jul 25, 2006
Last updated
Jan 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7739T CA Primary

Addresses

Primary practice location

1551 Sloat Blvd
San Francisco, CA 94132-1222

Mailing address

1551 Sloat Blvd
San Francisco, CA 94132-1222
Phone (415) 753-5338

Other identifiers 1

IdentifierTypeStateIssuer
SD0077391MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120302000237 CA Practitioner - Optometry 8729247275 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1551 Sloat Blvd
San Francisco, CA 94132-1222
Phone (415) 753-5338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7739TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chester C Quan, OD PastSince Mar 30, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chester.quan.1@16528.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420329600000",
    "number": "1336162171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SLOAT BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321222",
            "telephone_number": "415-753-5338",
            "fax_number": "415-753-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SLOAT BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321222",
            "telephone_number": "415-753-5338",
            "fax_number": "415-753-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "CHESTER",
        "middle_name": "CHOW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7739T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0077391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.