Active NPI
Jeffery Chan
- Occupational Therapist
- Arcadia, CA
National Provider Identifier
1528522257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16436
- Practice address
- 300 W Huntington Dr
Arcadia, CA 91007-3402 - Phone
- (626) 898-8000
- NPI assigned
- Jan 28, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16436 | CA | Primary |
Addresses
Primary practice location
300 W Huntington Dr
Arcadia, CA 91007-3402
Mailing address
6044 Sultana Ave
Temple City, CA 91780-1549
Phone (626) 592-1992
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16436 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1528522257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6044 SULTANA AVE",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917801549",
"telephone_number": "626-592-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W HUNTINGTON DR",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073402",
"telephone_number": "626-898-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JEFFERY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.