Onn T. Chan M.D., Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ONN T. CHAN M.D., INC.

Practice address

1135 E Route 66 Ste 106
Glendora, CA 91740-3769

Phone

(626) 335-0588

Fax

(626) 852-1526

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Onn T. Chan, M.D.

Title

President/Owner

Phone

(626) 335-0588

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Onn T. Chan, M.D. Other name

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1902094550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E ROUTE 66 STE 106",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403769",
            "telephone_number": "626-335-0588",
            "fax_number": "626-852-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E ROUTE 66 STE 106",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403769",
            "telephone_number": "626-335-0588",
            "fax_number": "626-852-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONN T. CHAN M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ONN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-335-0588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A164110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onn T. Chan, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susanne Obenaus, P.T.
• Ouliana Oguienko, DDS
• Vance Gary Okamoto, DDS
• Maria Cecilia Oliveri, M.S.,L.M.F.T.
• Maple Olofson, PHARM D
• Ramil Onsik, NP
• Optimal Care Home Health Services
• Ortho and Surgical 1St Assist
• Orthopaedic Medical Group
• Yulissa Ortiz

• General Practice Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.