Carney Chan, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A135731 Issued in CA

Practice address

2220 Lynn Rd Ste 102
Thousand Oaks, CA 91360-8017

Phone

(805) 496-9727

NPI assigned

Jul 16, 2013

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular Surgery

Education

University of Southern California Keck School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ayva Home Health Services Inc Home health agency, Canoga Park, CA, CCN 757005
• Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
• Allied Healthcare Professionals Inc Home health agency, Newbury Park, CA, CCN 058405
• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
• City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carney Chan MD PC

  • Vascular Surgery Physician
  • Thousand Oaks, CA
  • NPI 1245963297
  Medicare reassignment NPD
• Nishant Sharma, MD, PC

  • Vascular Surgery Physician
  • Thousand Oaks, CA
  • NPI 1134947633
  NPD
• NPI 1033163019

  • NPI 1033163019
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allied Healthcare Professionals Inc

  • Home Health Registered Nurse
  • Newbury Park, CA
  • NPI 1134261704

  Home health agency

  Care Compare affiliation
• Ayva Home Health Services Inc

  • Home Health Agency
  • Canoga Park, CA
  • NPI 1487257549
  Care Compare affiliation
• City of Hope National Medical Center

  • General Acute Care Hospital
  • Duarte, CA
  • NPI 1750358297
  Care Compare affiliation
• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  Care Compare affiliation
• Vital Plus Home Health Care

  dba Access TLC Home Health Care

  • Case Manager/Care Coordinator
  • San Fernando, CA
  • NPI 1619045176

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1649611807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608017",
            "telephone_number": "805-496-9727",
            "fax_number": "805-496-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608017",
            "telephone_number": "805-496-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CARNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2022-07-06",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A135731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Cristina Cestero, MD
• CGM Wellness Group
• Challenge Physical Therapy Inc
• Craig Martin Chally, PHARMD
• Joane E Chamberlain, PT MOMT
• Jonathan James Wanglun Chan, M.D.
• Samuel G Chan
• Manpaul Singh Chandi
• Dylan Chandiram
• Mallory Chandler

• Vascular Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.