DR. LATISHA CHAN (NPI# 1255784161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255784161 |
| Entity Type | Individual |
| Full Name | DR. LATISHA CHAN |
| Credential | DDS |
| Practice Address |
646 Clement Street San Francisco CA 94118 |
| Practice Telephone | 4152211324 |
| Mailing Telephone | 4152211324 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-02-05 |
| NPI Deactivation Date | 03/16/2018 |
| NPI Reactivation Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 101720 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
101720 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 Shotwell St, San Francisco, CA 941101323 | 4154319797 | |
| 1826 Noriega St, San Francisco, CA 941224324 | 4155668908 |
| Street Address |
646 CLEMENT STREET |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952933533 | Emily Bonelli Padow | Social Worker | 699 Spruce Street, San Francisco, CA 94118 | 2020-02-11 |
| 1306489067 | Sue Jennigs Hirsch | Counselor | 405 Clement Street Room 4, San Francisco, CA 94118 | 2019-10-24 |
| 1235795402 | Sally Levy Albert Mft | Marriage & Family Therapist | 626 Balboa Street, San Francisco, CA 94118 | 2019-05-14 |
| 1750851382 | Ka Yan Mary Fong Dds Inc | Dentist | 3121 Geary Blvd, San Francisco, CA 94118 | 2018-11-27 |
| 1871072728 | Devin G Wu | Acupuncturist | 1014 Clement St, San Francisco, CA 94118 | 2018-08-11 |
| 1568952034 | Toni Margot Brooks | Marriage & Family Therapist | 4831 Geary Blvd., San Francisco, CA 94118 | 2018-05-10 |
| 1053808733 | Pamela Elizabeth Olton | Acupuncturist | 450 Connecticut Street, San Francisco, CA 94118 | 2018-04-18 |
| 1952801359 | Justin Andrew Fotter | Chiropractor | 403 Arguello Blvd, Live Fit Gym, San Francisco, CA 94118 | 2018-02-13 |
| 1861926024 | Chih-han Lee | Student in an Organized Health Care Education/Training Program | 2351 Clay Street., Suite 380, San Francisco, CA 94118 | 2017-04-14 |
| 1205372695 | Allison Smith | Physical Therapist | 323 Masonic Ave, San Francisco, CA 94118 | 2017-01-10 |
| Find all providers in zip 94118 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1063019032 | Shaun Abrams | Dentist | 87 Beaver St, San Francisco, CA 94114-1514 | 2020-10-02 |
| 1407469240 | Steve Deng | Dentist | 450 Sutter St Rm 2640, San Francisco, CA 94108-4211 | 2020-08-30 |
| 1922619634 | Anna V Goritskaia | Dentist | 1188 Mission St Apt 2318, San Francisco, CA 94103-6757 | 2020-08-14 |
| 1417589581 | Amin Sarraf | Dentist | 1315 3rd Ave, San Francisco, CA 94122-2718 | 2020-02-06 |
| 1144867052 | Hanna Brody | Dentist | 707 Parnassus Ave Rm D3015, San Francisco, CA 94143-2210 | 2019-12-10 |
| 1225685043 | Kamiya Khatwani | Dentist | 250 King St Unit 270, San Francisco, CA 94107-5457 | 2019-08-26 |
| 1609428275 | University of The Pacific | Dentist | 155 5th St Ste 23m, San Francisco, CA 94103-2919 | 2019-07-12 |
| 1730740325 | Ronald J Mak | Dentist | 728 Pacific Ave Ste 610, San Francisco, CA 94133-4449 | 2019-06-24 |
| 1073077947 | Hayoung Shin | Dentist | 1 Daniel Burnham Ct Ste 305c, San Francisco, CA 94109-0466 | 2019-01-24 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94118 |
Please comment or provide details below to improve the information on DR. LATISHA CHAN.
| 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.