Simon Chan, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A70465 Issued in CA

Legal business name

SIMON CHAN, M.D., INC.

Practice address

1127 Texas St
Suite a
Fairfield, CA 94533-5745

Phone

(707) 426-6060

Fax

(707) 428-1960

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Simon CHI Yan Chan, M.D.

Title

President

Phone

(707) 426-6336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366477713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 TEXAS ST",
            "address_2": "SUITE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335745",
            "telephone_number": "707-426-6060",
            "fax_number": "707-428-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 TEXAS ST",
            "address_2": "SUITE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335745",
            "telephone_number": "707-426-6060",
            "fax_number": "707-428-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON CHAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "CHI YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-426-6336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher A Silag, PHARM.D., BCPS
• Sandra Silva, MFT
• Natan David Silverman
• Silvia Becerra Well Now Nutrition
• Cienna Silvia
• Alyssa Simon
• Gabriela Gusman Simonsen
• Micela Simpliciano-Medina
• James David Garrett Simpson
• Nicole Simpson

• Internal Medicine Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.