Active NPI
Priscilla Chan, PT, DPT
- Physical Therapist
- West Covina, CA
National Provider Identifier
1588310056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1135 S Sunset Ave Ste 101
West Covina, CA 91790-3938 - Phone
- (626) 732-8351
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1135 S Sunset Ave Ste 101
West Covina, CA 91790-3938
Mailing address
10250 Randwick Dr
Temple City, CA 91780-3351
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pchan@emanatehealth.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1588310056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10250 RANDWICK DR",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917803351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 S SUNSET AVE STE 101",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903938",
"telephone_number": "626-732-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "PRISCILLA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pchan@emanatehealth.org",
"affiliation": "N",
"endpointDescription": "Work Email",
"address_1": "1135 S Sunset Ave Ste 101",
"city": "West Covina",
"state": "CA",
"country_code": "US",
"postal_code": "917903938",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 23, 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.