Individual provider Active NPI

Tina L Chan, AU.D.

  • Audiologist
  • Northridge, CA
National Provider Identifier
1639547490
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3067 Issued in CA
Practice address
19520 Nordhoff St Ste 5
Northridge, CA 91324-2451
Phone
(818) 734-9124
NPI assigned
Sep 10, 2015
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3067 CA Primary

Addresses

Primary practice location

19520 Nordhoff St Ste 5
Northridge, CA 91324-2451

Mailing address

5555 Garden Grove Blvd Ste 200
Westminster, CA 92683-8234
Phone (714) 898-5732

Other practice location 1

16030 Ventura Blvd Ste 610
Encino, CA 91436-2751
Phone (818) 789-0463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321000777 CA Practitioner - Qualified Audiologist 3476850371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serendipity Hearing IncGroup PAC ID 4587849054, 11 clinicians

Practice addresses (Care Compare)

16030 Ventura Blvd
Suite 610
Encino, CA 91436-2751
Phone (818) 789-0463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3067CAMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Hearing Inc CurrentSince Dec 26, 2017 Accepting new patients
Sonus-USA, Inc. Past Accepting new patients
Adapt Hearing Inc Past Accepting new patients

Locations

622 W Duarte Rd
Ste 105
Arcadia, CA 91007
Phone (626) 445-2844

10929 South St
Ste 202B
Cerritos, CA 90703
Phone (562) 431-1512

802 Magnolia Ave
Ste 208
Corona, CA 92879
Phone (951) 736-1630

16030 Ventura Blvd
Ste 610
Encino, CA 91436
Phone (818) 422-5322

11180 Warner Ave
Ste 263
Fountain Vly, CA 92708
Phone (714) 370-1000

5882 Bolsa Ave
Ste 130
Huntington Beach, CA 92649
Phone (714) 898-5732

81833 Doctor Carreon Blvd
Ste 1
Indio, CA 92201
Phone (760) 775-1113

1127 Wilshire Blvd
Ste 300
Los Angeles, CA 90017
Phone (213) 250-9485

19520 Nordhoff St
Ste 5
Northridge, CA 91324
Phone (818) 734-6124

399 E Highland Ave
Ste 117
San Bernardino, CA 92404
Phone (909) 372-0016

28071 Bradley Rd
Sun City, CA 92586
Phone (951) 679-1139

451 E Avenida de los Arboles
Ste B
Thousand Oaks, CA 91360
Phone (805) 494-4469

1425 W Foothill Blvd
Ste 110
Upland, CA 91786
Phone (909) 946-6856

5555 Garden Grove Blvd
Ste 200
Westminster, CA 92683
Phone (714) 804-5725

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1639547490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GARDEN GROVE BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838234",
            "telephone_number": "714-898-5732",
            "fax_number": "714-901-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19520 NORDHOFF ST STE 5",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242451",
            "telephone_number": "818-734-9124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16030 Ventura Blvd Ste 610",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362751",
            "country_code": "US",
            "telephone_number": "818-789-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "TINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.