Organization Active NPI

Chan Chiropractic Healthcare Place Inc

  • Chiropractor
  • Whittier, CA
National Provider Identifier
1497247050
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28634 Issued in CA
Legal business name
CHAN CHIROPRACTIC HEALTHCARE PLACE INC
Practice address
7354 Painter Ave
Whittier, CA 90602-1853
Phone
(562) 789-1999
Fax
(562) 789-1995
NPI assigned
May 30, 2018
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Cecilia Chan Place, DC
Title
Ceo
Phone
(909) 991-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28634 CA Primary

Addresses

Primary practice location

7354 Painter Ave
Whittier, CA 90602-1853

Mailing address

1235 N Harbor Blvd Ste 111
Fullerton, CA 92832-1323
Phone (714) 871-9080

Other practice location 1

1235 N Harbor Blvd Ste 111
Fullerton, CA 92832-1323
Phone (714) 871-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410002284 CA Part B Supplier - Clinic/Group Practice 5496096901 Receives reassigned benefits from 1 practitioner
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory
Tax ID family
Chan Chiropractic Healthcare Place Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1235 N Harbor Blvd
Ste 111
Fullerton, CA 92832
Phone (714) 228-1182

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1497247050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N HARBOR BLVD STE 111",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321323",
            "telephone_number": "714-871-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7354 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021853",
            "telephone_number": "562-789-1999",
            "fax_number": "562-789-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 N Harbor Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928321323",
            "country_code": "US",
            "telephone_number": "714-871-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHAN CHIROPRACTIC HEALTHCARE PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "CHAN PLACE",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-991-5888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.