Individual provider Active NPI

James Chan, M.D.

  • Neurological Surgery Physician
  • Westlake Village, CA
National Provider Identifier
1972531135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C38198 Issued in CA
Practice address
1250 La Venta Dr
#207
Westlake Village, CA 91361-3702
Phone
(805) 497-9484
Fax
(805) 495-2572
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C38198 CA Primary

Addresses

Primary practice location

1250 La Venta Dr
#207
Westlake Village, CA 91361-3702

Mailing address

1250 La Venta Dr
#207
Westlake Village, CA 91361-3702
Phone (805) 497-9484

Other identifiers 1

IdentifierTypeStateIssuer
00C38198MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000576 CA Practitioner - NeurosurgeryPractitioner - Neurology 5799796363 Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972531135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR",
            "address_2": "#207",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613702",
            "telephone_number": "805-497-9484",
            "fax_number": "805-495-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR",
            "address_2": "#207",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613702",
            "telephone_number": "805-497-9484",
            "fax_number": "805-495-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C38198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C38198",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.