Active NPI
Jeffrey Dulay Chan
- Home Health Agency
- El Centro, CA
National Provider Identifier
1902183023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey D Chan, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- El Centro, CA
- NPI 1770843112
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.