JONATHAN R CHAN (NPI# 1043831985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043831985 |
| Entity Type | Individual |
| Full Name | JONATHAN R CHAN |
| Credential | MD |
| Practice Address |
400 N Pepper Ave Ste 301 Colton CA 92324-1819 |
| Mailing Address |
37 W Winnie Way Arcadia CA 91007-8048 |
| Practice Telephone | 9095801000 |
| Mailing Telephone | 6263489191 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923595 | Jonathan Chan | Pharmacist | 7974 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-3052 | 2019-10-14 |
| 1144351685 | Jonathan Karl Chan | Dentist | 935 Roseville Parkway, #120, Roseville, CA 95678 | 2007-03-08 |
| 1699383570 | Jonathan Chan | Physical Therapist | 14221 Euclid St Ste F, Garden Grove, CA 92843-4991 | 2020-07-16 |
| 1457917569 | Jonathan Chan | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2019-05-14 |
| 1578126975 | Jonathan Chan | Student in an Organized Health Care Education/Training Program | 967 N Broadway, Yonkers, NY 10701-1301 | 2019-04-21 |
| 1538666128 | Jonathan Chan | Physical Medicine & Rehabilitation | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2018-04-10 |
| 1407248552 | Jonathan Richard Chan | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2015-02-26 |
| 1093123721 | Jonathan Chan | Optometrist | 2615 Tuscany St, Corona, CA 92881-4631 | 2014-07-25 |
| 1982016929 | Jonathan James Wanglun Chan | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2014-05-26 |
| 1952733412 | Jonathan Steven Chan | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2013-08-06 |
| Street Address |
400 N PEPPER AVE STE 301 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353698 | Shawhin Daniel Beroukhim | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 309, Colton, CA 92324-1801 | 2020-03-30 |
| 1538715446 | Alyssa Kristianna Perez | Student in an Organized Health Care Education/Training Program | 3022 Canyon Vista Dr, Colton, CA 92324-9770 | 2019-08-15 |
| 1467959965 | Hideyuki Murakami | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Dept Of, Colton, CA 92324-1819 | 2018-04-11 |
| 1801037668 | Blanca Isela Morales | Student in an Organized Health Care Education/Training Program | 1320 Latham St, Colton, CA 92324-1516 | 2009-03-09 |
| 1689282618 | Johnny Greene | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-15 |
| 1255953311 | Sheryl Lynn Clare Diaz | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-05-12 |
| 1992327084 | Raja Alberto Appannagari Gnanadev | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Dept Of, Colton, CA 92324-1819 | 2020-05-11 |
| 1295357416 | John Brewington IIi | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-05-11 |
| 1073135570 | Christina Sugirtharaj | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-05-07 |
| 1366063851 | Kaitlyn Ahyoung Yoon | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-05-06 |
| Find all providers in COLTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.