Brian Chan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

520 Toolen PL
Pasadena, CA 91103-1339

Phone

(626) 688-8727

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1477254605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TOOLEN PL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031339",
            "telephone_number": "626-688-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 TOOLEN PL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031339",
            "telephone_number": "626-688-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Champo, MASSAGE THERAPIST
• Kevin Chan Shum, DPT, PT
• Ariel Haydee Chan, PA-C
• Bethany J Chan, DPT
• Bonnie Jansum Chan
• Charissa Chan
• Cheri Chan
• Christie Chan, OD
• Christine W Chan, O.D.
• Christopher Chan, DDS, MD

• Behavior Technician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.