Lily Chan, DC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18675 Issued in CA

Practice address

805 W la Veta Ave
Orange, CA 92868-3901

Phone

(949) 287-3836

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrated Medical Center of Corona Inc.

  • Multi-Specialty Clinic/Center
  • Corona, CA
  • NPI 1023400322
  Medicare reassignment NPD
• Pirritano Chiropractic Corporation

  • Chiropractor
  • Corona, CA
  • NPI 1952496028
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1336795277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 COUNTRY MILE RD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917666603",
            "telephone_number": "949-287-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683901",
            "telephone_number": "949-287-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LILY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34600",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hin Wai Agatha Chan
• Jamie Sun-Yu Chan
• Janelle Chan
• Jefferson Y Chan, M.D., PH.D.
• Joshua Mon Chan, DO, MS
• Lucas Sean Chan
• Margaret Chan, PHARM.D.
• Melinda Chan, AU.D.
• Michael Y Chan, M.D.
• Regan Alexander Chan, D.O.

• Acupuncturist in Orange, CA
• Providers in Orange, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.