Active NPI
Sarah Wai Yin Chan, PA-C
- Physician Assistant
- Cerritos, CA
National Provider Identifier
1861160681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60144
- Practice address
- 15941 Indian Creek Rd
Cerritos, CA 90703-2031 - Phone
- (562) 547-3331
- NPI assigned
- Sep 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60144 | CA | Primary |
Addresses
Primary practice location
15941 Indian Creek Rd
Cerritos, CA 90703-2031
Mailing address
15941 Indian Creek Rd
Cerritos, CA 90703-2031
Phone (562) 547-3331
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211217000698 | CA | Order and Referring Only - Physician Assistant | 8527459072 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60144 | CA | MD | Physician Assistant |
Interoperability endpoints
- sarah.chan.1@3254.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1861160681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15941 INDIAN CREEK RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032031",
"telephone_number": "562-547-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15941 INDIAN CREEK RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032031",
"telephone_number": "562-547-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "SARAH",
"middle_name": "WAI YIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-06",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA60144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.