Ivy P Chan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

63394 Issued in CA

Practice address

358 Newman Dr
South San Francisco, CA 94080-3017

Phone

(415) 517-1648

NPI assigned

Aug 23, 2011

Last updated

Aug 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Regents of the University of California

  dba UCSF Department of Medicine Rheumatology

  • Rheumatology Physician
  • San Francisco, CA
  • NPI 1881763597
  NPD (past)
• University of California San Francisco

  dba UCSF Medical Center Adult Chronic Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1992818256
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1558641456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 NEWMAN DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803017",
            "telephone_number": "415-517-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 NEWMAN DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803017",
            "telephone_number": "415-517-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "IVY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila H. Champsi, MD
• Andy Chan, PHARM.D
• Christine A Chan, MD
• Elysia Chan
• Harland Chan, RRT, CRT
• Jennifer Chan
• Karl K. Chan, MD
• Marissa Nicole Chan, PHARMD
• Waichi Chan, MD
• Matthew Chandler, PHARM.D.

• Pharmacist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.