Nithi Chan

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95024826 Issued in CA

Practice address

20072 SW Birch St Ste 290
Newport Beach, CA 92660-0796

Phone

(949) 379-8758

NPI assigned

Jan 27, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nithi Piyatipoudom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1962351460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 S BRYANT PASEO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST STE 290",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600796",
            "telephone_number": "949-379-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "NITHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITHI",
            "last_name": "PIYATIPOUDOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Breanna Champion-Ybarra, RN, MSN, PHN
• Angela Ferguson Champion, MD
• John C. Champion, M.D.
• Jenny Danh Chan, RD
• Karence Kam Chan, M.D.
• Zung Chan, PHARM D
• Janet Mary Chance, M.D.
• Kendra Chandhoke, D.M.D
• Weston Chandler, M.D.
• Andrew Chang, PHARM.D.

• Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.