Organization Active NPI

Lawrence W Chan M D Inc a Professional Corporation

  • Diagnostic Radiology Physician
  • Sunnyvale, CA
National Provider Identifier
1790018661
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LAWRENCE W CHAN M D INC A PROFESSIONAL CORPORATION
Practice address
990 W Fremont Ave Ste W
Sunnyvale, CA 94087-3065
Phone
(408) 738-0378
Fax
(408) 738-0318
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Lawrence W. Chan, M.D.NPI 1669437380
Title
Owner/President
Phone
(408) 738-0378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

990 W Fremont Ave Ste W
Sunnyvale, CA 94087-3065

Mailing address

990 W Fremont Ave Ste W
Sunnyvale, CA 94087-3065
Phone (408) 738-0378

National Provider Directory

National Provider Directory

Locations

990 W Fremont Ave
Ste W
Sunnyvale, CA 94087
Phone (408) 738-0378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1790018661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE STE W",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873065",
            "telephone_number": "408-738-0378",
            "fax_number": "408-738-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE STE W",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873065",
            "telephone_number": "408-738-0378",
            "fax_number": "408-738-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE W CHAN M D INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "408-738-0378",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.