Wayne C Chan,MD,Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G35478 Issued in CA

Legal business name

WAYNE C CHAN,MD,INC

Practice address

620 Hiller Dr
Oakland, CA 94618-2353

Phone

(510) 549-3813

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Wayne C Chan, M.D.

Title

C.E.O.

Phone

(510) 533-2244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1366826349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HILLER DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HILLER DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182353",
            "telephone_number": "510-549-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE C CHAN,MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "510-533-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G35478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Jason Watts
• Michael Charles Watung, DNP, FNP-BC
• Alexis Waugh
• Joanna J. Way
• Renata Way, PSYD
• Ariana Serena Waynes, LMFT
• We Care Home Care, Inc.
• Malon Lorpu Weah, R.N.
• Mary Jane Weatherbee, PSY.D.
• Sandra R. Weatherby, MD

• Specialist in Oakland, CA
• Providers in Oakland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.