Mary-Bonita Chan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26541 Issued in CA

Practice address

1870 El Camino Real Ste 106
Burlingame, CA 94010-3107

Phone

(650) 692-9899

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Acupuncture & Chiropractic

  • Chiropractor
  • San Ramon, CA
  • NPI 1154695831
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1629201488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 EL CAMINO REAL STE 106",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103107",
            "telephone_number": "650-692-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 EL CAMINO REAL STE 106",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103107",
            "telephone_number": "650-692-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MARY-BONITA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L. Chambers, PH.D.
• Alexander Michael Chan
• Jenifer Wendy Chan, LMFT
• Josh Chan, PHARM. D.
• Kassandra Chan, PHARMD
• William Chan, PSY.D.
• Aditi Chandra, M.D.
• Anirudh Vijay Chandra, DO
• Andrew Davey Chang, MD MS
• Dickson Chang, DPT

• Chiropractor in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.