William Henry Chan M D Professional Corp.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A20775 Issued in CA

Legal business name

WILLIAM HENRY CHAN M D PROFESSIONAL CORP.

Practice address

5525 Assembly CT
BLDG C
Sacramento, CA 95823-2634

Phone

(916) 421-1772

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William Henry Chan, M DNPI 1588602338

Title

President

Phone

(916) 421-1772

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• William Henry Chan, M.D.

  • Dermatology Physician
  • Sacramento, CA
  • NPI 1588602338
  Authorized official Same address or phone

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1801109624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ASSEMBLY CT",
            "address_2": "BLDG. C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232634",
            "telephone_number": "916-421-1772",
            "fax_number": "916-421-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ASSEMBLY CT",
            "address_2": "BLDG C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232634",
            "telephone_number": "916-421-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM HENRY CHAN M D PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-421-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A20775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00A207750",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Deanne Willams
• Weston Willard
• Andrea Willey, MD
• William Bargar MD
• William Chao Dental Corporation
• William P. Duffy, M.D., Inc.
• William Xu, Doctor of Physical Therapy, Inc.
• Shannon Williams - Brandon
• Williams Mobility
• Adrienne Danielle Williams-Barrels, M.S.

• Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.