Siu Ming Alain Chan, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-826 Issued in HI

Practice address

6770 Hawaii Kai Dr
Apt 407
Honolulu, HI 96825-1567

Phone

(415) 481-8147

NPI assigned

Jul 26, 2006

Last updated

Apr 22, 2015By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Liberty Dialysis-Hawaii, LLC

  dba Fresenius Kidney Care Hilo Lanikaula

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hilo, HI
  • NPI 1235854399
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1811911837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 HAWAII KAI DR",
            "address_2": "APT 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251567",
            "telephone_number": "415-481-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 HAWAII KAI DR",
            "address_2": "APT 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251567",
            "telephone_number": "415-481-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SIU MING ALAIN",
        "name_prefix": "Mr.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-826",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "582793",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew G. H. Chan, MD
• Nora Mei Yu Chan, O.D.
• Pon-Sang Chan, M.D.
• Robyn Jill Chan
• Sean Chan, MD
• Stephen K. Chan, MD
• Steven Chan, RPH
• Yan Pui Chan, DDS
• Kalei Chandler- Ah Sing, LMHC
• Chang Dich Lai M.D. Inc

• Family Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.