Organization Active NPI

Jeffrey Dulay Chan

  • Home Health Agency
  • El Centro, CA
National Provider Identifier
1902183023
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JEFFREY DULAY CHAN
Doing business as
HealthPeak Home Health
Practice address
1450 S Imperial Ave
El Centro, CA 92243-4200
Phone
(760) 352-3108
Fax
(760) 352-3234
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mr. Jeffrey D Chan, RNNPI 1770843112
Title
Administrator
Phone
(619) 888-3106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1450 S Imperial Ave
El Centro, CA 92243-4200

Mailing address

1450 S Imperial Ave
El Centro, CA 92243-4200
Phone (760) 352-3108

Other names 1

  • HealthPeak Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

1450 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-3108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1902183023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434200",
            "telephone_number": "760-352-3108",
            "fax_number": "760-352-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434200",
            "telephone_number": "760-352-3108",
            "fax_number": "760-352-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY DULAY CHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-888-3106",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPeak Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.