Active NPI
Deva Chan, PA-C
- Medical Physician Assistant
- Tucson, AZ
National Provider Identifier
1871735035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2604
- Practice address
- 395 N Silverbell Rd
# 315
Tucson, AZ 85712-2776 - Phone
- (520) 618-1010
- Fax
- (520) 784-7040
- NPI assigned
- Apr 1, 2009
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2604 | AZ | Primary |
Addresses
Primary practice location
395 N Silverbell Rd
# 315
Tucson, AZ 85712-2776
Mailing address
4811 E Grant Rd
Ste 261
Tucson, AZ 85712-2776
Phone (520) 294-1345
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2604 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carondelet Medical Group, Inc | Medical | Past | Accepting new patients |
| Pima Heart Physicians, PC | Past | Accepting new patients | |
| Pima Heart Physicians, PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1871735035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4811 E GRANT RD",
"address_2": "STE 261",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122776",
"telephone_number": "520-294-1345",
"fax_number": "520-784-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N SILVERBELL RD",
"address_2": "# 315",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122776",
"telephone_number": "520-618-1010",
"fax_number": "520-784-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "DEVA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "2604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.