Active NPI
Steven Man Cheong Chan, M.D./PH.D.
- Hematology (Internal Medicine) Physician
- Stanford, CA
National Provider Identifier
1669633871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- A109021
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 714-8288
- NPI assigned
- Jun 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology (Internal Medicine) Physician | 207RH0000X | A109021 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
19057 Stevens Creek Blvd.
Suite 105
Cupertino, CA 95014
Phone (650) 714-8288
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A869820 | Other | CA | MEDICARE |
| 00A896920 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109021 | CA | MD | Marriage & Family Therapist |
| A109021 | CA | MD | Hematology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1669633871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19057 STEVENS CREEK BLVD.",
"address_2": "SUITE 105",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "95014",
"telephone_number": "650-714-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-714-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "STEVEN",
"middle_name": "MAN CHEONG",
"name_prefix": "Dr.",
"credential": "M.D./PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "CA",
"license": "A109021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00A869820",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A896920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.