Active NPI
Vivian Hoi-Yan Chan, DPT, MS
- Physical Medicine & Rehabilitation Physician
- Santa Monica, CA
National Provider Identifier
1659003531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT298575
- Practice address
- 2010 Wilshire Blvd
Santa Monica, CA 90403-5608 - Phone
- (310) 878-2540
- NPI assigned
- Jun 28, 2022
- Last updated
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT298575 | CA | Primary |
Addresses
Primary practice location
2010 Wilshire Blvd
Santa Monica, CA 90403-5608
Mailing address
1109 N Dalton Ave
Azusa, CA 91702-2127
Phone (626) 321-5063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsfit Physical Therapy Corporation | Current | Accepting new patients |
Locations
4702 Lincoln Blvd
Marina del Rey, CA 90292
Phone (310) 306-1478
2010 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 878-2540
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Santa Monica, CA
- NPI 1558615492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1659003531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 N DALTON AVE",
"city": "AZUSA",
"state": "CA",
"postal_code": "917022127",
"telephone_number": "626-321-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035608",
"telephone_number": "310-878-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "VIVIAN",
"middle_name": "HOI-YAN",
"credential": "DPT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT298575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.