Christopher Ryan Chan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21917 Issued in CA

Practice address

403 West Adams Blvd
Los Angeles, CA 90007

Phone

(213) 742-1402

Fax

(213) 742-1103

NPI assigned

Oct 8, 2012

Last updated

Aug 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Hospital Medical Group IncGroup PAC ID 5799686283, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: cchan176518@direct.uclahealth.org

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.

• Orthopaedic Hospital Medical Group Inc

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1942300918
  Medicare reassignment Care Compare group NPD
• Orthopaedic Hospital

  dba Orthopaedic Institute for Children

  • Home Infusion Agency
  • Los Angeles, CA
  • NPI 1689632374
  Medicare reassignment NPD
• Orthopaedic Hospital

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1386627966
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1790037356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WEST ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072664",
            "telephone_number": "213-742-1402",
            "fax_number": "213-742-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WEST ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007",
            "telephone_number": "213-742-1402",
            "fax_number": "213-742-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvin Chan, OD
• Camille Marie Tolentino Chan, MD
• Carrie Chan, NP
• Chasity Chan, L.AC., DIPL.OM.
• Christina Hae-Jung Chan, DDS
• Clara Chan
• Clarence Matthew Chan, PA-C
• Courtney A Chan
• Cynthia Mayi Chan, PHARMD
• Cynthia Wing Yee Chan

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.