Active NPI
Catherine Chan
- Nurse Practitioner
- San Gabriel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95015178
- Practice address
- 207 S Santa Anita St Ste P05
San Gabriel, CA 91776-1159 - Phone
- (626) 652-7433
- NPI assigned
- Oct 22, 2020
- Last updated
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 825283 | CA | |
| Nurse Practitioner | 363L00000X | 95015178 | CA | Primary |
Addresses
Primary practice location
207 S Santa Anita St Ste P05
San Gabriel, CA 91776-1159
Mailing address
207 S Santa Anita St Ste P05
San Gabriel, CA 91776-1159
Phone (266) 526-7433
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
1500 E Duarte Rd
Duarte, CA 91010-3012
209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- Quality
- 78.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825283 | CA | MD | Ambulatory Care Registered Nurse |
| 95015178 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Current | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients | |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Alhambra Hospital Medical Center, LP | Past | Accepting new patients |
Locations
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020
Interoperability endpoints
- cchan99481@cityofhope.direct-ci.com
Organizations & group practices 4
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.
-
dba City of Hope Duarte
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
-
dba Garfield Medical Center
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
dba AHMC San Gabriel Valley Medical Center
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
-
- General Acute Care Hospital
- Alhambra, CA
- NPI 1811099674
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1457705360
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1821697525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S SANTA ANITA ST STE P05",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761159",
"telephone_number": "266-526-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S SANTA ANITA ST STE P05",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761159",
"telephone_number": "626-652-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "CATHERINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "825283",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95015178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.