Individual provider Active NPI

Steven Chan

  • Cardiovascular Disease Physician
  • San Gabriel, CA
National Provider Identifier
1790218824
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A186776 Issued in CA
Practice address
506 W Valley Blvd
San Gabriel, CA 91776-5716
Phone
(626) 308-3800
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X A186776 CA Primary

Addresses

Primary practice location

506 W Valley Blvd
San Gabriel, CA 91776-5716

Mailing address

506 W Valley Blvd Ste 100
San Gabriel, CA 91776-5716
Phone (626) 308-3800

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809002772 CA Practitioner - Cardiovascular Disease (Cardiology) 6608141502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Heart Centers a Medical CorporationGroup PAC ID 7012944473, 16 clinicians

Practice addresses (Care Compare)

506 W Valley Blvd
San Gabriel, CA 91776-5716
Phone (626) 308-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A186776CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Heart Centers a Medical Corporation Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients

Locations

18605 Gale Ave
Ste 180
City of Industry, CA 91748
Phone (626) 284-1997

415 W Valley Blvd
Ste D
San Gabriel, CA 91776
Phone (626) 308-3800

506 W Valley Blvd
San Gabriel, CA 91776
Phone (626) 308-3800

506 W Valley Blvd
Ste 100
San Gabriel, CA 91776
Phone (626) 308-3800

Interoperability endpoints

  • Direct secure messaging: steven.chan@697388111167492.direct.elationemr.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1790218824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W VALLEY BLVD STE 100",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765716",
            "telephone_number": "626-308-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765716",
            "telephone_number": "626-308-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A186776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.