Raymond Y Chan MD a Professional Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G44249 Issued in CA

Legal business name

RAYMOND Y CHAN MD A PROFESSIONAL CORPORATION

Practice address

4619 Convoy St
Ste G
San Diego, CA 92111-2318

Phone

(858) 627-9988

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Raymond Y Chan, M.D.NPI 1730298373

Title

President

Phone

(858) 627-9988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Yuen-Fong Chan, M.D.

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1730298373
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1467991604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 CONVOY ST",
            "address_2": "STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112318",
            "telephone_number": "858-627-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 CONVOY ST",
            "address_2": "STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112318",
            "telephone_number": "858-627-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND Y CHAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-627-9988",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G44249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rayman, MD
• Raymar & Co Enterprises LLC
• Raymond E Carpenter D D S Inc
• Raymond Heung, M.D.
• Raymond I Press M.D.
• Jessica Meneses Raymond, RN
• Kelli Raymond
• Jonathan Dominick Raymondi, ASW, MSW
• Julie Marie Raymos
• Eleonor Raymundo

• Medical Specialty Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.