Amanda Chan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC33899 Issued in CA

Practice address

2459 Ashby Ave
Berkeley, CA 94705-2009

Phone

(510) 984-3348

NPI assigned

Aug 2, 2019

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chan Chiropractic Inc

  dba Flow State Chiropractic & Wellness

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1598513145

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1952956336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KIMBERLIN HEIGHTS DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192321",
            "telephone_number": "774-270-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052009",
            "telephone_number": "510-984-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "AMANDA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenia Dayeon Chae
• Rose Elia Chahla, LPCC
• Freda Chamberlain
• Meghan Chambers, ATC
• Chan Chiropractic Inc (Flow State Chiropractic & Wellness)
• Daphne Chan, O.D.
• Elaine Chan
• Janice Kimberly Chan, DDS
• Jeffrey Chan
• Jeffrey Alexander Chan, DC, CSCS, ART

• Chiropractor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.