Individual provider Active NPI

Naomi Chiuyee Chan, PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1831791235
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95016070 Issued in CA
Practice address
310 8TH St
Oakland, CA 94607-6526
Phone
(510) 735-3900
NPI assigned
Nov 10, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95016070 CA Primary
Registered Nurse 163W00000X 95225060 CA

Addresses

Primary practice location

310 8TH St
Oakland, CA 94607-6526

Mailing address

310 8TH St
Oakland, CA 94607-6526
Phone (510) 735-3900

Other practice location 1

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113000348 CA Practitioner - Nurse Practitioner 5193138105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Health ServicesGroup PAC ID 0244271021, 93 clinicians

Practice addresses (Care Compare)

1001 8TH St
Suite 100
Oakland, CA 94607-4707

101 8TH St
Suite 100
Oakland, CA 94607-4707

817 Harrison St
Oakland, CA 94607-4422
Phone (510) 986-0430

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

835 Webster St
Oakland, CA 94607-4219
Phone (510) 318-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services CurrentSince Dec 7, 2020 Accepting new patients
Asian Health Services Current Accepting new patients

Locations

101 8th St
Ste 100
Oakland, CA 94607
Phone (510) 735-3100

818 Webster St
Oakland, CA 94607
Phone (510) 986-6800

Interoperability endpoints

  • Direct secure messaging: nchan326382@direct.ochin.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1831791235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 8TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076526",
            "telephone_number": "510-735-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 8TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076526",
            "telephone_number": "510-735-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Webster St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946074220",
            "country_code": "US",
            "telephone_number": "510-986-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "NAOMI",
        "middle_name": "CHIUYEE",
        "credential": "PMHNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95016070",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95225060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.