Individual provider Active NPI

Dana Casey Chan, MD

  • Ophthalmology Physician
  • Oceanside, CA
National Provider Identifier
1972820033
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A134223 Issued in CA
Practice address
3621 Vista Way
Oceanside, CA 92056-4522
Phone
(760) 757-1144
Fax
(760) 859-4522
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A134223 CA Primary

Addresses

Primary practice location

3621 Vista Way
Oceanside, CA 92056-4522

Mailing address

3621 Vista Way
Oceanside, CA 92056-4522
Phone (760) 757-1144

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
I20160211001849 CA Practitioner - Ophthalmology 9830314780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

10862 Calle Verde
La Mesa, CA 91941-7340
Phone (619) 670-5400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134223CAMDSocial Worker
A134223CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Ophthalmology Current Accepting new patients
Scripps Health CurrentSince Nov 1, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Nov 1, 2017 Accepting new patients
Ramin Tayani MD Inc Ophthalmology CurrentSince Feb 11, 2017 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

10710 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-7993

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

10862 Calle Verde
La Mesa, CA 91941
Phone (619) 660-5400

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

3621 Vista Way
Oceanside, CA 92056
Phone (760) 607-3460

653 Camino de los Mares
Ste 107
San Clemente, CA 92673
Phone (949) 489-2210

653 Camino de los Mares
Ste 103
San Clemente, CA 92673
Phone (949) 485-1333

10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171

Interoperability endpoints

  • Direct secure messaging: dchan37896@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1972820033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-757-1144",
            "fax_number": "760-859-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-757-1144",
            "fax_number": "760-859-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DANA",
        "middle_name": "CASEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A134223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.