Elden S Chao

Primary specialty

PharmacistTaxonomy code 183500000X

License

90169 Issued in CA

Practice address

7170 Day Creek Blvd
Rancho Cucamonga, CA 91739-8821

Phone

(909) 463-7846

NPI assigned

Apr 11, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • Rancho Cucamonga, CA
  • NPI 1588171938
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1902691678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 EASTON PL",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484880",
            "telephone_number": "626-408-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 DAY CREEK BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398821",
            "telephone_number": "909-463-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "ELDEN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "90169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Chang, L.AC.
• Tiffany X. Chang
• Channell Family Medical Group, Inc
• Daniel B Channell, MD
• Lazarus Chanza, D.D.S
• Chaparral Medical Group Inc
• Chaparral Medical Group Inc
• Chaparral Medical Group Inc
• Chaparral Medical Group, Inc.
• Chaparral Medical Group, Inc.

• Pharmacist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.