Sara Chan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15886 Issued in CA

Practice address

1015 Baker St Ste 4
Bakersfield, CA 93305

Phone

(613) 328-4283

Fax

(661) 843-8619

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Davison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1770628265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "address_2": "ATTN: ANN LEE CLINICA SIERRA VISTA",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021559",
            "telephone_number": "661-635-3050",
            "fax_number": "661-869-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BAKER ST STE 4",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93305",
            "telephone_number": "613-328-4283",
            "fax_number": "661-843-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DAVISON",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Chambers, MFC
• Olivia Chambers
• Jessica Champlin
• Jackey Chan, PTA
• Josephine Leung Yu Ki Chan, M.D
• Terence Tai Lan Chan
• Neha Chande, M.D., M.H.S.
• Will Nathan Chandler
• Chandra Orthopedic & Medical Clinic Inc.
• Sangeeta Chandramahanti, MD.

• Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.