Susanna Chan D.P.M., Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SUSANNA CHAN D.P.M., INC

Practice address

8283 Grove Ave Ste 207B
Rancho Cucamonga, CA 91730-3141

Phone

(909) 500-3007

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Susanna Chan, DPM

Title

Podiatrist/Ceo

Phone

(626) 759-7565

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1396200176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E COMMERCIAL ST",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917735001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 207B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303141",
            "telephone_number": "909-500-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 W Beverly Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906404125",
            "country_code": "US",
            "telephone_number": "323-721-6026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 Buena Vista St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910101724",
            "country_code": "US",
            "telephone_number": "626-447-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSANNA CHAN D.P.M., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "PODIATRIST/CEO",
        "authorized_official_telephone_number": "626-759-7565",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.