Yan Yu Grace Chan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

142670 Issued in CA

Practice address

1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614

Phone

(323) 917-3198

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1487380564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 EASTERN AVE APT 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074380",
            "telephone_number": "626-200-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S PACIFIC COAST HWY STE 307",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775614",
            "telephone_number": "323-917-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Eastern Ave Apt 6",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911074380",
            "country_code": "US",
            "telephone_number": "626-200-8408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YAN YU GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Q Chaib, PSY.D.
• Helen Elle Chambers, M.S. CCC-SLP
• Elaine Chan
• Michael Chan, DPT
• William Wai-Leong Chan, D.D.S.
• Diana Meihung Chang, M.D.
• Madeline Chang
• Umawan Chanthakaew
• Joan Chapman, MA. LMFT
• Kanti Charugundla, PA-C

• Marriage & Family Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.