David Manfook Chan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A37863 Issued in CA

Practice address

11815 Knightsbridge PL
Loma Linda, CA 92354-4167

Phone

(909) 641-6882

NPI assigned

Feb 26, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1982944005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502905",
            "telephone_number": "909-596-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 KNIGHTSBRIDGE PL",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544167",
            "telephone_number": "909-641-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DAVID",
        "middle_name": "MANFOOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gracia Chalico, RN
• Joshua David Chamberlin, M.D.
• Samuel Cook Chambi
• Bobby Shek Chan, M.D.
• Brian Chan
• Francis Chan, M.D.
• Jason Chan
• Ka Yee Clara Chan
• Kimberly Mei Chan, MD
• Laura Kimberly Chan, MD

• Internal Medicine Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.