Individual provider Active NPI

Candy Kaihing Chan, MD, PHD

  • Ophthalmology Physician
  • South Pasadena, CA
National Provider Identifier
1497876254
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A98768 Issued in CA
Practice address
709 Fremont Ave Ste C
South Pasadena, CA 91030-2560
Phone
(626) 507-5655
Fax
(626) 507-5656
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A98768 CA
Ophthalmology Physician 207W00000X A98768 CA Primary

Addresses

Primary practice location

709 Fremont Ave Ste C
South Pasadena, CA 91030-2560

Mailing address

1144 S Chapel Ave
Alhambra, CA 91801-4827
Phone (323) 459-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000925 CA Practitioner - Ophthalmology 1254464233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

709 Fremont Ave
Suite C
South Pasadena, CA 91030-2560
Phone (626) 507-5655

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A98768CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Candy K Chan, MD, PHD Ophthalmology CurrentSince Mar 24, 2015 Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Harborview Meical Center Past Accepting new patients
Dignity Health Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

709 Fremont Ave
Ste C
South Pasadena, CA 91030
Phone (323) 459-3136

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1497876254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 S CHAPEL AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014827",
            "telephone_number": "323-459-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 FREMONT AVE STE C",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302560",
            "telephone_number": "626-507-5655",
            "fax_number": "626-507-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CANDY",
        "middle_name": "KAIHING",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A98768",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A98768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.