NPIMap

Organization Active NPI

Roger S Chan

  • Acupuncturist
  • San Gabriel, CA
National Provider Identifier
1902209406
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5600 Issued in CA
Legal business name
ROGER S CHAN
Practice address
206 E Las Tunas Dr
#1
San Gabriel, CA 91776-1411
Phone
(626) 285-6373
Fax
(626) 285-6373
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Dr. Roger S Chan, L.ACNPI 1225070147
Title
Owner
Phone
(626) 285-6373

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC5600 CA Primary

Addresses

Primary practice location

206 E Las Tunas Dr
#1
San Gabriel, CA 91776-1411

Mailing address

206 E Las Tunas Dr
#1
San Gabriel, CA 91776-1411
Phone (626) 285-6373

Other identifiers 1

IdentifierTypeStateIssuer
AC5600OtherCAACUPUNCTURE

Other names 1

  • Las Tunas Acupuncture & Herbs Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

206 E Las Tunas Dr
Ste 1
San Gabriel, CA 91776
Phone (626) 285-6373

Practitioners & affiliated clinicians

Practitioners 3

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": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1902209406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E LAS TUNAS DR",
            "address_2": "#1",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761411",
            "telephone_number": "626-285-6373",
            "fax_number": "626-285-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E LAS TUNAS DR",
            "address_2": "#1",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761411",
            "telephone_number": "626-285-6373",
            "fax_number": "626-285-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER S CHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-285-6373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC5600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Tunas Acupuncture & Herbs Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.