Individual provider Active NPI

Chia-Hua Chan, DC

  • Chiropractor
  • San Anselmo, CA
National Provider Identifier
1689337834
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36104 Issued in CA
Practice address
412 Red Hill Ave Ste 11
San Anselmo, CA 94960-2469
Phone
(415) 444-6965
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36104 CA Primary

Addresses

Primary practice location

412 Red Hill Ave Ste 11
San Anselmo, CA 94960-2469

Mailing address

3909 Stevenson Blvd Ste D
Fremont, CA 94538-2301

Other practice location 1

3909 Stevenson Blvd Ste D
Fremont, CA 94538-2301
Phone (510) 585-3824

Other names 1

  • Chia-Hua Chan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502000075 CA Practitioner - Chiropractic 3072900513 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Heidi Keller Chiropractic IncGroup PAC ID 7012161227, 2 clinicians

Practice addresses (Care Compare)

3909 Stevenson Blvd
Suite D
Fremont, CA 94538-2301
Phone (510) 585-3824

412 Red Hill Ave
Suite 11
San Anselmo, CA 94960-2469
Phone (415) 444-6965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lenihan Family Chiropractic Inc. Chiropractor CurrentSince Dec 1, 2021 Accepting new patients
Lifelong Medical Care CurrentSince Aug 22, 2025 Accepting new patients
Lifelong Medical Care CurrentSince Aug 22, 2025 Accepting new patients
Thriving Life Wellness Chiropractor CurrentSince Jun 30, 2024 Accepting new patients
Heidi Keller Chiropractic, Inc. Chiropractor CurrentSince Mar 1, 2022 Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

412 Red Hill Ave
Ste 11
San Anselmo, CA 94960
Phone (415) 444-6965

2126 Sutter St
San Francisco, CA 94115
Phone (415) 409-2993

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1689337834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 STEVENSON BLVD STE D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 RED HILL AVE STE 11",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602469",
            "telephone_number": "415-444-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Stevenson Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382301",
            "country_code": "US",
            "telephone_number": "510-585-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHIA-HUA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIA-HUA",
            "last_name": "CHAN",
            "credential": "DR. CHIA-HUA,CHAN DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.