Allen K. Chan, M.D., Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G86322 Issued in CA

Legal business name

ALLEN K. CHAN, M.D., INC.

Practice address

488 E Valley Pkwy
Suite 404
Escondido, CA 92025-3363

Phone

(760) 743-3912

Fax

(760) 739-7633

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Allen Chan, M.D.

Title

President

Phone

(760) 743-3912

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1366515744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460995",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920460995",
            "telephone_number": "760-743-3912",
            "fax_number": "760-739-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY",
            "address_2": "SUITE 404",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253363",
            "telephone_number": "760-743-3912",
            "fax_number": "760-739-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN K. CHAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-743-3912",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G86322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G863220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Escondido, CA
• Providers in Escondido, 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 Dec 20, 2007; 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.