Samantha Sanh Chan, BSN, CCRN, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009416 Issued in CA

Practice address

1525 W San Lorenzo Ave
Santa Ana, CA 92704-6225

Phone

(714) 878-0611

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1386121697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W SAN LORENZO AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046225",
            "telephone_number": "714-878-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W SAN LORENZO AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046225",
            "telephone_number": "714-878-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SAMANTHA",
        "middle_name": "SANH",
        "credential": "BSN, CCRN, MSN,  FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Robert Champagne, MD
• Champion Medical Group, a Medical Corporation
• Alma Sinai Chamu
• Jackie Chan, ATC, DPT, PT
• Kevin Hin Lap Chan
• Chances Counseling Center
• Chances Counseling Centers LLC
• Lauren Rae Chandler, MSW, ACSW
• Vijay Chandran, MD,RN,MBA.;
• Shruthi Chandrasekhar, MD

• Family Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.