Active NPI
Wan-Yin Chan, M.D.
- Allergy & Immunology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A101604
- Practice address
- 725 W la Veta Ave Ste 100
Orange, CA 92868-4445 - Phone
- (714) 633-6363
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | A101604 | CA | Primary |
Addresses
Primary practice location
725 W la Veta Ave Ste 100
Orange, CA 92868-4445
Mailing address
725 W la Veta Ave Ste 100
Orange, CA 92868-4445
Phone (714) 633-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121106000155 | CA | Practitioner - Pediatric Medicine | 2668623364 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Childrens Hospital of Orange County
Practice addresses (Care Compare)
1201 W la Veta Ave
Orange, CA 92868-4203
Phone (888) 770-2462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Orange County | Current | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
725 W La Veta Ave
Ste 100
Orange, CA 92868
Phone (714) 633-6363
1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1932391471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 W LA VETA AVE STE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684445",
"telephone_number": "714-633-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W LA VETA AVE STE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684445",
"telephone_number": "714-633-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "WAN-YIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A101604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.