Individual provider Active NPI

Arthur Chan, L.AC., R.PH.

  • Acupuncturist
  • La Habra, CA
National Provider Identifier
1609937242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5662 Issued in CA
Practice address
721 W Whittier Blvd
Ste. G
La Habra, CA 90631-3759
Phone
(562) 690-8366
Fax
(562) 690-8987
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC5662 CA Primary

Addresses

Primary practice location

721 W Whittier Blvd
Ste. G
La Habra, CA 90631-3759

Mailing address

721 W Whittier Blvd
Ste. G
La Habra, CA 90631-3759
Phone (562) 690-8366

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
AC5662CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609937242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W WHITTIER BLVD",
            "address_2": "STE. G",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313759",
            "telephone_number": "562-690-8366",
            "fax_number": "562-690-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W WHITTIER BLVD",
            "address_2": "STE. G",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313759",
            "telephone_number": "562-690-8366",
            "fax_number": "562-690-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "L.AC., R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.