Active NPI
Welton Chan
- Pharmacist
- Cerritos, CA
National Provider Identifier
1760766935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68187
- Practice address
- 20200 Bloomfield Ave
Cerritos, CA 90703-7821 - Phone
- (562) 274-0062
- NPI assigned
- Oct 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | I009255 | AZ | |
| Pharmacist | 183500000X | 68187 | CA | Primary |
Addresses
Primary practice location
20200 Bloomfield Ave
Cerritos, CA 90703-7821
Mailing address
4926 Live Oak St Apt E
Cudahy, CA 90201-5229
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I009255 | AZ | MD | Pharmacist |
| 68187 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1760766935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4926 LIVE OAK ST APT E",
"city": "CUDAHY",
"state": "CA",
"postal_code": "902015229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20200 BLOOMFIELD AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037821",
"telephone_number": "562-274-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "WELTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-05",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "I009255",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.