Active NPI
C & S Health, Inc.
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1629025705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00042949
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1119114 | Medicaid | WA |
Other names 1
- Dr. Gan's Family Practice
National Provider Directory
National Provider DirectoryLocations
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.