Candy K Chan, MD, PHD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CANDY K CHAN, MD, PHD

Practice address

709 Fremont Ave
Suite C
South Pasadena, CA 91030-2559

Phone

(323) 459-3136

NPI assigned

Jun 11, 2016

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Candy K Chan, MD, PHDNPI 1497876254

Title

Owner

Phone

(323) 459-3136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candy Kaihing Chan, MD, PHD

  • Ophthalmology Physician
  • South Pasadena, CA
  • NPI 1497876254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1609225457",
    "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",
            "address_2": "SUITE C",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302559",
            "telephone_number": "323-459-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDY K CHAN, MD, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-11",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-459-3136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Elyse Calhoon
• Matthew Grant Calkins, PSY.D.
• Megan Reel Callaghan, LMFT
• Calvin J. Blasco
• Yolanda Calvin, N.P.
• Harvey Mark Canter, PH.D.
• Chenghua Cao
• Jeffrey Capps
• Giselle Odalys Carrasco
• Carrie Horn and Associates Psychological Corporation

• Ophthalmology Physician in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.