Cinthia Shun-Yu Chan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10455 Issued in CA

Practice address

2701 N Texas St
Fairfield, CA 94533-1204

Phone

(707) 399-7832

Fax

(707) 399-7570

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1962533273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STERN DR",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956204526",
            "telephone_number": "707-693-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N TEXAS ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331204",
            "telephone_number": "707-399-7832",
            "fax_number": "707-399-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CINTHIA",
        "middle_name": "SHUN-YU",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaidez Management LLC
• Virginia Challburg, SUD COUNSELOR -SUDRC
• Sneha Chamber
• Courtney Emerson Chambers, M.D.
• Tanisha Quemai Champion-Benjamin
• Lawrence K Chan, M.D.
• Amrita Chand, RN
• Suresh Chandra, OTR/L
• Ann Y. Chang, MD
• Gilbert T Chang, MD

• Optometrist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.