Organization Active NPI

C & S Health, Inc.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1629025705
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00042949 Issued in WA
Legal business name
C & S HEALTH, INC.
Doing business as
Dr. Gan's Family Practice
Practice address
1811 156TH Ave NE
Suite 5
Bellevue, WA 98007-4344
Phone
(425) 747-8950
Fax
(425) 747-3254
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. CHI Gan, M.D.
Title
President
Phone
(425) 747-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00042949 WA Primary

Addresses

Primary practice location

1811 156TH Ave NE
Suite 5
Bellevue, WA 98007-4344

Mailing address

1811 156TH Ave NE
Suite 5
Bellevue, WA 98007-4344
Phone (425) 747-8950

Other identifiers 1

IdentifierTypeStateIssuer
1119114MedicaidWA

Other names 1

  • Dr. Gan's Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

1811 156th Ave NE
Ste 5
Bellevue, WA 98007
Phone (425) 372-7248

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1629025705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 156TH AVE NE",
            "address_2": "SUITE 5",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074344",
            "telephone_number": "425-747-8950",
            "fax_number": "425-747-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 156TH AVE NE",
            "address_2": "SUITE 5",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074344",
            "telephone_number": "425-747-8950",
            "fax_number": "425-747-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & S HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "GAN",
        "authorized_official_first_name": "CHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-747-8950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119114",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Gan's Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.