Kevin T Chan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT146507 Issued in CA

Practice address

9015 Murray Ave
Gilroy, CA 95020-3673

Phone

(408) 842-7138

NPI assigned

Apr 10, 2024

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1497508170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 RIBBONWOOD AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951234452",
            "telephone_number": "408-505-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 MURRAY AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203673",
            "telephone_number": "408-842-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KEVIN",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT146507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America - California
• Priscilla Cervantes, LVN
• Jannet Marla Chaires
• Chamberlain'S Day Center
• Gar N Chan, DDS
• Sophia Chan, OT
• Bernadette Marie Chapa
• Sandra Starr Chapin
• David Laurent Chappell
• Samar M Charabaty, M.D.

• All providers in Gilroy, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.