DR. JACK FONG CHAN JR. (NPI# 1447770136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447770136 |
| Entity Type | Individual |
| Full Name | DR. JACK FONG CHAN JR. |
| Credential | MD |
| Practice Address |
12212 Scully Ave Saratoga CA 95070-3339 |
| Practice Telephone | (408) 921-3303 |
| Mailing Telephone | 4089213303 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G21437 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376741256 | Jack Sui Ki Chan | Emergency Medicine | 1350 N Town Center Dr Unit 1033, Las Vegas, NV 89144-0577 | 2007-07-03 |
| 1891799714 | Jack W. Chan | Dentist | 818 Civic Center Dr, Oceanside, CA 92054-2506 | 2005-06-09 |
| 1376170522 | Jack Chan | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-26 |
| 1588113484 | Jack Chan | Pharmacist | 807 Locust St, Philadelphia, PA 19107-5507 | 2016-10-03 |
| Street Address |
12212 SCULLY AVE |
| City | SARATOGA |
| State | CA |
| Zip Code | 95070-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326504366 | Cherissa W Chong, Dmd, Ms, Inc | Dentist | 12280 Saratoga Sunnyvale, Suite 101, Saratoga, CA 95070 | 2019-02-14 |
| 1306218052 | Louis Clement Zanger | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13313 Via Madronas Dr., Saratoga, CA 95070 | 2015-10-21 |
| 1598187502 | Ali Tayaran | Dental Hygienist | 1480 Saratoga Ave, Saratoga, CA 95070 | 2014-01-09 |
| 1174954721 | Saratoga Senior Coordinating Council | Clinic/Center | 19655 Allendale Ave, Saratoga, CA 95070 | 2013-12-09 |
| 1851637227 | Dzogchen Healing Center | Chiropractor | 12948 Village Dr., Suite C, Saratoga, CA 95070 | 2012-12-12 |
| 1235499435 | Jennifer Liu | Dietitian, Registered | 19666 Ascension Dr., Saratoga, CA 95070 | 2012-05-22 |
| 1407159254 | Zhisheng Sun | Acupuncturist | 12175 Saratoga Sunnyvale Rd., Suite A, Saratoga, CA 95070 | 2010-12-17 |
| 1588980163 | Jovita Carpio | Anesthesiology | 18927 Sara Park Circle, Saratoga, CA 95070 | 2010-04-08 |
| 1790017184 | Janet Woody Cucciare | Speech-Language Pathologist | 20400 Saratoga Los Gatos, Saratoga, CA 95070 | 2010-02-10 |
| 1568699676 | Gregory L. Belcher, M.d., Inc | Family Medicine | 18805 Cox Avenue, #110, Saratoga, CA 95070 | 2009-06-16 |
| Find all providers in zip 95070 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1952851321 | Wallace Tsang | Pediatrics | 15449 Hume Dr, Saratoga, CA 95070-6416 | 2016-10-10 |
| 1437567302 | Karl Willard Robinson | Pediatrics | 19670 Three Oaks Way, Saratoga, CA 95070-6442 | 2014-07-23 |
| 1356515530 | Alex Bernyk | Pediatrics | 20186 Williamsburg Ln, Saratoga, CA 95070-3839 | 2008-04-17 |
| 1013030840 | Angela Marie Condie | Pediatrics | 12305 Obrad Dr, Saratoga, CA 95070-3519 | 2007-04-08 |
| 1821137100 | Beth Jo Berkowitz | Pediatrics | 19198 De Havilland Dr, Saratoga, CA 95070-4041 | 2007-02-05 |
| 1578528709 | Allan Lavetter | Pediatrics | 20358 Miljevich Dr, Saratoga, CA 95070-4349 | 2006-04-19 |
| 1366523581 | Margaret Smyklo | Pediatrics | 13425 Sousa Ln, Saratoga, CA 95070-4637 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| 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.