Vickie Wai Kay Chan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024536 Issued in NY

Practice address

75 N Santa Anita Ave Ste 105
Arcadia, CA 91006-3157

Phone

(626) 623-6355

NPI assigned

Jan 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1912329160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N SANTA ANITA AVE STE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N SANTA ANITA AVE STE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063157",
            "telephone_number": "626-623-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "VICKIE",
        "middle_name": "WAI KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitty Chan
• Marie M Chan, MPT
• Michelle Chan, M.A.
• Rebecca Gakei Chan
• Sophia Shin Chung Chan
• Ziena Chan, OTR/L
• Bala S Chandrasekhar, MD
• Casey Chaney, PT OCS
• Alison Chang
• Blair CHI-Ping Chang, DPT

• Speech-Language Pathologist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.