Jeffrey Dulay Chan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018570 Issued in CA

Practice address

1605 Scott Ave Ste 400
El Centro, CA 92243-1790

Phone

(760) 352-3108

Fax

(760) 352-3234

NPI assigned

May 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Jeffrey Dulay Chan

  dba HealthPeak Home Health

  • Home Health Agency
  • El Centro, CA
  • NPI 1902183023
  NPD Authorized official
• Healthpeak Home Health, Inc.

  • Home Health Agency
  • El Centro, CA
  • NPI 1609296318
  Authorized official Same address or phone
• My Family Homecare Inc

  • Home Health Agency
  • El Centro, CA
  • NPI 1598110256
  Authorized official Same address or phone

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1770843112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434200",
            "telephone_number": "760-352-3108",
            "fax_number": "760-352-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SCOTT AVE STE 400",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431790",
            "telephone_number": "760-352-3108",
            "fax_number": "760-352-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JEFFREY",
        "middle_name": "DULAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "698955",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95018570",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar T. Chavez MD, Inc.
• Fernanda E Chacon
• Shawn Chadha, DDS
• Maritza Chairez, RBT
• Jerry Michael Chalupnik
• Charles R Stevens M.D, Apc (Advanced Pain Associates, A.P.C.)
• Charles R Stevens, M.D., Apc
• Charles R. Humphrey, M.D.,Inc
• Hasmukh Chatha
• Vincent Phuvinh Chau

• Family Nurse Practitioner in El Centro, CA
• Providers in El Centro, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.