Antonio Quan Chan, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A35593 Issued in CA

Practice address

1289 S. Park Victoria Drive
Suite 200
Milpitas, CA 95035-6974

Phone

(408) 586-8866

Fax

(408) 586-8858

NPI assigned

Oct 31, 2006

Last updated

Mar 26, 2020By 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

Other identifiers 1

Other names 1

• Dr. Anthony Quan Chan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: antoniochan@cmgi.allscriptsdirect.net

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.

• Chanwell Medical Group, Inc.

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1144324468
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1669558508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 LAS VEGAS BLVD S UNIT 3501W",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891584399",
            "telephone_number": "702-882-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 S. PARK VICTORIA DRIVE",
            "address_2": "SUITE 200",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356974",
            "telephone_number": "408-586-8866",
            "fax_number": "408-586-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ANTONIO",
        "middle_name": "QUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A355930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "CHAN",
            "middle_name": "QUAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jose Alejandro Celis, DDS
• Oscar Celis, D.D.S
• Roan Cercenia, D.D.S
• Cesar a Simon a Dental Corporation
• Sridevi Challa
• Darrell Chan
• Edward Yap Chan, D.D.S., M.S., B.D.S.
• Lai Fun Chan
• Michelle Chan, OD
• Ching-Wen Chang

• Cardiovascular Disease Physician in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.