Jasmine Kyra Chan

Primary specialty

PharmacistTaxonomy code 183500000X

License

79065 Issued in CA

Practice address

6405 Mira Mesa Blvd Ste 210
San Diego, CA 92121-4146

Phone

(866) 701-6565

NPI assigned

Dec 19, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1740796259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EMBARCADERO STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 MIRA MESA BLVD STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214146",
            "telephone_number": "866-701-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Embarcadero Ste 400",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946065300",
            "country_code": "US",
            "telephone_number": "510-567-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JASMINE",
        "middle_name": "KYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "79065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Chan, PHARM.D.
• Erin Chan, LMFT
• Helen Shen Chan, PT, DPT, NCS
• Henry Chan, PHARM.D.
• Janice Chan
• Jean L Chan, M.D.
• Jeffrey Chan, M.D.
• Jonathan Chan, D.O.
• Kelly Lani Chan
• Kelsey H Chan

• Pharmacist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.