JOHN CHAN (NPI# 1447306980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447306980 |
| Entity Type | Individual |
| Full Name | JOHN CHAN |
| Credential | PA |
| Practice Address |
215 W 4th St Perris CA 92570-2010 |
| Mailing Address |
Po Box 7270 Moreno Valley CA 92552-7270 |
| Practice Telephone | 9514865700 |
| Practice Fax Number | 9514865705 |
| Mailing Telephone | 9514865700 |
| Mailing Fax Number | 9514865705 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
PA11478 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568718377 | John Tin-hang Chan | Dentist | 23530 Hawthorne Blvd Ste 250, Torrance, CA 90505-4726 | 2012-07-30 |
| 1992928121 | John Chan | Dentist | 2111 Geer Rd, Suite 500, Turlock, CA 95382-2458 | 2007-04-10 |
| 1700910692 | John Y Chan | Pharmacist | 17615 140th Ave. Se, Renton, WA 98058-6828 | 2007-03-15 |
| 1417558248 | John Chan | Pharmacist | 3000 S Halsted St, Chicago, IL 60608-5805 | 2020-11-06 |
| 1437655644 | John Thomas Chan | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2018-04-05 |
| 1790185932 | John Chan | Optometrist | 695 S Green Valley Pkwy, Henderson, NV 89052-0404 | 2014-08-25 |
| 1215215827 | John Chan | Pharmacist | 4801 Central Ave, Richmond, CA 94804-5801 | 2011-07-31 |
| 1407156375 | John M Chan | Dentist | 54 Fenton St, Livermore, CA 94550-4144 | 2010-10-26 |
| 1841503125 | John Chan | Internal Medicine | 8700 Beverly Blvd, Rm 5512, Los Angeles, CA 90048 | 2010-07-15 |
| 1083853733 | John Philip Gan Chan | Physical Therapist | 4444 Forest Park Ave, Suite 1210, Saint Louis, MO 63108-2212 | 2009-02-19 |
| Street Address |
215 W 4TH ST |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104138742 | Karin Eve Colunga | Nurse Practitioner | 215 W 4th St, Perris, CA 92570-2010 | 2010-07-12 |
| 1639225154 | Kaneez Ali | Pediatrics | 215 W 4th St, Perris, CA 92570-2010 | 2007-01-26 |
| 1679651921 | Mission Pediatrics, Inc. | Pediatrics | 215 W 4th St, Perris, CA 92570-2010 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639225154 | Kaneez Ali | Pediatrics | 215 W 4th St, Perris, CA 92570-2010 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
| Find all providers with the same taxonomy | ||||
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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.