Maria Rhodora Espinas Chan, M.D.
Individual provider Active NPI Internal Medicine Physician · Oak Forest, IL
NPI 1760770481 · NPPES record last updated Feb 11, 2022
Key facts
- NPI
- 1760770481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125059039 (IN)
- Practice address
- 15209 Linden Dr
Oak Forest, IL 60452-1506 - Phone
- (773) 787-7821
- Fax
- (773) 305-2984
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
1033 3Rd St
San Rafael, CA 94901-3107
Phone (415) 482-6800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Ebenezer Home Health Service, LLC |
Home health agency | Corporate Officer (25%) | Dec 2, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924000751 | CA | Practitioner - Internal Medicine | 6002970175 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125059039 | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
1033 3rd St
San Rafael, CA 94901
Phone (415) 444-2990
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125059039 | IN | Yes |
Addresses
Primary practice location
15209 Linden Dr
Oak Forest, IL 60452-1506
Mailing address
15209 Linden Dr
Oak Forest, IL 60452-1506
Phone (773) 787-7821
Other names
- Dr. Maria Rhodora Villasenor Espinas
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Oak Forest, IL
- Laurel Carlson
- Elizabeth Carter
- Shannon L Casey
- Alexandra Castaneda
- Gerald Cease
- Rajeswari Chandran
- Manisha Ramesh Chheda
- Chicago Express Transportation
- Chicagoland Allergy and Asthma Consultants LTD
- Chicagoland Early Intervention LTD
All providers in Oak Forest, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.