Individual provider Active NPI

Lan L. Nguyen Chawkins, PSYCHOLOGIST

  • Clinical Psychologist
  • Alhambra, CA
National Provider Identifier
1821049669
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
CP16422 Issued in CA
Practice address
1635 W Main St Ste 100
Alhambra, CA 91801-1951
Phone
(626) 248-1800
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X CP16422 CA Primary

Addresses

Primary practice location

1635 W Main St Ste 100
Alhambra, CA 91801-1951

Mailing address

1635 W Main St Ste 100
Alhambra, CA 91801-1951
Phone (626) 248-1800

Other practice location 1

605 W Olympic Blvd
Los Angeles, CA 90015-1483
Phone (213) 553-1850 ext. 886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP16422CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1821049669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 W MAIN ST STE 100",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011951",
            "telephone_number": "626-248-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 W MAIN ST STE 100",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011951",
            "telephone_number": "626-248-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900151483",
            "country_code": "US",
            "telephone_number": "213-553-1850 x886",
            "fax_number": "213-553-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN CHAWKINS",
        "first_name": "LAN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "CP16422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.