Chantelle Mabasa Madayag

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN248651 Issued in CA

Practice address

591 Brunswick St
San Francisco, CA 94112-4301

Phone

(415) 591-9291

NPI assigned

May 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Chantelle Marie Phonesavanh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1679892863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 BRUNSWICK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124301",
            "telephone_number": "415-591-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 BRUNSWICK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124301",
            "telephone_number": "415-591-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Dore St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941033828",
            "country_code": "US",
            "telephone_number": "415-553-3100",
            "fax_number": "415-553-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADAYAG",
        "first_name": "CHANTELLE",
        "middle_name": "MABASA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN248651",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTELLE",
            "last_name": "PHONESAVANH",
            "middle_name": "MARIE",
            "credential": "DOULA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jolie Marie Hoppe Macrito, DO
• Ashley Blake Macy
• Szabina Maczak, RD
• Saloni Madan
• Simone Madan, PHD
• Maria Maddela
• Nanette M. Madden, NP
• Sreelata Maddipati, MD
• David Paul Maddon
• Katrina Elizabeth Maddox, FNP

• Licensed Vocational Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.