DR. JEREMY Y CHAN (NPI# 1407274624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407274624 |
| Entity Type | Individual |
| Full Name | DR. JEREMY Y CHAN |
| Credential | M.D. |
| Practice Address |
8700 Beverly Blvd West Hollywood CA 90048-1804 |
| Mailing Address |
4140 W 190th St Torrance CA 90504-5513 |
| Practice Telephone | 3104235000 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A137605 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Pasteur Dr, Mail Code 6342, Stanford, CA 943052200 | 6507217669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740675669 | Jeremy Ho Mun Chan | Pediatrics | 4800 Sand Point Way Ne Oc.7.830, Seattle, WA 98105 | 2015-03-30 |
| 1346413804 | Jeremy Dalisay Chan | Specialist | 6798 Ashburn Rd, Lake Worth, FL 33467-7319 | 2008-04-04 |
| 1699214262 | Jeremy Chan | Dentist | 475 E Bell Rd Ste 150, Phoenix, AZ 85022 | 2017-02-15 |
| 1063495869 | Jeremy Jay Chan | Physical Therapist | 490 W El Camino Real, Mountain View, CA 94040 | 2005-11-25 |
| Street Address |
8700 BEVERLY BLVD |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90048-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910983 | Denise A Barbuto | Specialist | 8700 Beverly Blvd, Rm 8725, West Hollywood, CA 90048-1804 | 2005-05-24 |
| 1609481688 | Shawn Younessi Md Inc | Internal Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-15 |
| 1447865860 | Elyssa Bangunan Rivero | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-11 |
| 1508471301 | Matthew Ryan Beckelman | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-09 |
| 1255941514 | Josias Cerritos Escobar | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-08-03 |
| 1841818945 | Jocelyn Chaing | Pharmacist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-06 |
| 1992322200 | Kessia Reis | Nurse Anesthetist, Certified Registered | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-02 |
| 1154947695 | Prime 5 Medical Group Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-21 |
| 1770108672 | Pegah Panirian | Podiatrist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-16 |
| 1891310934 | Steven Heer | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104984442 | Robert C Klapper | Orthopaedic Surgery | 8737 Beverly Blvd Ste 303, West Hollywood, CA 90048-1839 | 2006-12-05 |
| 1396396271 | Salkinder Orthopaedic Services, Inc. | Orthopaedic Surgery | 7855 Santa Monica Blvd, West Hollywood, CA 90046-5344 | 2019-09-23 |
| 1316398274 | Max Michalski | Orthopaedic Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2016-06-22 |
| 1497138804 | Maxim Danilevich | Orthopaedic Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-07-02 |
| 1730561879 | Sean Shahriar Rajaee | Orthopaedic Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-06-25 |
| 1336520345 | Michael Nzeogu | Orthopaedic Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-06-16 |
| 1740675222 | Andrew John Trontis | Orthopaedic Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-04-01 |
| 1205248713 | Blake Burkert | Orthopaedic Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048 | 2014-06-02 |
| 1336550656 | Michael Allan Stone | Orthopaedic Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048 | 2014-05-09 |
| 1982022281 | Sohaib Hashmi | Orthopaedic Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2014-04-03 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90048 |
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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.