Active NPI
Eva Y Chan, M.D.
- Pediatrics Physician
- West Covina, CA
National Provider Identifier
1508953894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A48559
- Practice address
- 2707 E Valley Blvd Ste 215
West Covina, CA 91792-3197 - Phone
- (909) 594-3382
- Fax
- (626) 667-8387
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A48559 | CA | Primary |
Addresses
Primary practice location
2707 E Valley Blvd Ste 215
West Covina, CA 91792-3197
Mailing address
2707 E Valley Blvd Ste 215
West Covina, CA 91792-3197
Phone (909) 594-3382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508953894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 E VALLEY BLVD STE 215",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917923197",
"telephone_number": "909-594-3382",
"fax_number": "626-667-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 E VALLEY BLVD STE 215",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917923197",
"telephone_number": "909-594-3382",
"fax_number": "626-667-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "EVA",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A48559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.