MR. STEFAN CHAN


Address: 1969 Bonifacio St Apt 4, Concord, CA 94520-2260
Phone: 9252553333

MR. STEFAN CHAN (NPI# 1487268264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487268264
Entity Type Individual
Full Name MR. STEFAN CHAN
Credential RN
Practice Address 1969 Bonifacio St Apt 4
Concord
CA 94520-2260
Practice Telephone 9252553333
Mailing Telephone 9252553333
Enumeration Date 2020-08-31
Last Update Date 2020-08-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
95181410 CA Nursing Service Providers

Office Location

Street Address 1969 BONIFACIO ST APT 4
City CONCORD
State CA
Zip Code 94520-2260

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1972072122 Rocio Flores Neale Physician Assistant 2415 High School Avenue, Suite 800, Concord, CA 94520 2018-11-16
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1417442278 Raquel Jihan Chiasson Social Worker 2900 Avon Avenue, Concord, CA 94520 2018-06-25
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1811498678 Sherry Currie-proctor Case Manager/Care Coordinator 2380 Salvio Street, Concord, CA 94520 2018-02-26
1770082547 Donna Christianson Marriage & Family Therapist 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 2018-02-07
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City CONCORD
Zip Code 94520

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Dataset Information

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.

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