BRYAN CHAN (NPI# 1528511227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528511227 |
| Entity Type | Individual |
| Full Name | BRYAN CHAN |
| Practice Address |
11741 Telegraph Rd Ste G Santa Fe Springs CA 90670 |
| Mailing Address |
11741 Telegraph Rd Ste G Santa Fe Springs CA 90670-3687 |
| Practice Telephone | 5629428256 |
| Mailing Telephone | 5629428256 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMF89959 | CA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PCCI2509 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 122240 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13001 Ramona Blvd, Suite I, Irwindale, CA 917063752 | 6263373828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417059957 | Bryan P Chan | Acupuncturist | 1148 San Bernardino Rd, Suite E 102, Upland, CA 91786-4943 | 2006-09-04 |
| 1316059637 | Bryan Chan | Radiology | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-08-31 |
| 1194778381 | Bryan Edwin Chan | Anesthesiology | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | 2006-05-18 |
| Street Address |
11741 TELEGRAPH RD STE G |
| City | SANTA FE SPRINGS |
| State | CA |
| Zip Code | 90670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871636860 | Melinda B Olivas | Psychologist | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2007-02-15 |
| 1912513375 | Ononuju Ophelia Nwachie | Nurse Practitioner | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2020-09-21 |
| 1124634563 | Rachel Ann Ardoin | Nurse Practitioner | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2020-09-21 |
| 1538719604 | Yonatan Antonio Barrera Gomez | Student in an Organized Health Care Education/Training Program | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2019-09-19 |
| 1093370207 | Chloie Camille Sierra | Counselor | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2019-05-02 |
| 1881170058 | Brenda Lopez | Licensed Vocational Nurse | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670 | 2018-07-11 |
| 1053812909 | Helen Michelle Murcia | Licensed Vocational Nurse | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2018-02-26 |
| 1851776231 | Jose Samora | Licensed Vocational Nurse | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2015-07-27 |
| 1700267499 | Jessie Esther Rincon-schlutz | Psychologist | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2015-06-18 |
| 1750656138 | Angie Gaudeth Rivera | Case Manager/Care Coordinator | 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 | 2012-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283279 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 11721 East Telegraph Road Unit I, Santa Fe Springs, CA 90670 | 2020-04-13 |
| 1487205563 | Jurrell Davis | Counselor | 16332 Marvene Dr., Santa Fe Springs, CA 90670 | 2019-09-20 |
| 1003370065 | Amber D Perez-riggins | Counselor | 11015 Bloomfiled Ave, Santa Fe Springs, CA 90670 | 2019-01-24 |
| 1154832749 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 12580 Lakeland Road, Santa Fe Springs, CA 90670 | 2017-10-23 |
| 1518481001 | Cecilia Bueno | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670 | 2017-07-27 |
| 1447773148 | Richard Paige | Counselor | 10425 S. Painter Ave., Santa Fe Springs, CA 90670 | 2017-07-25 |
| 1326578709 | Mariah Patricia Ramirez | Counselor | 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 | 2017-06-18 |
| 1578947446 | Robynn Coleman | In Home Supportive Care | 10510 Maple Lane, Santa Fe Springs, CA 90670 | 2015-07-10 |
| 1003218314 | Norma Gonzalez | Case Manager/Care Coordinator | 11741 E. Telegraph Road, Santa Fe Springs, CA 90670 | 2014-09-17 |
| 1932510617 | Antonio Matinez Sr. | Rehabilitation Practitioner | 10012 Norwalk Blvd Suite 140, Santa Fe Springs, CA 90670 | 2014-05-15 |
| Find all providers in zip 90670 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871046854 | Carmen Olvera | Marriage & Family Therapist | 11111 Bloomfield Ave, Santa Fe Springs, CA 90670-4655 | 2016-07-26 |
| 1336476050 | Terence George Lau | Marriage & Family Therapist | 12070 Telegraph Rd Ste 207, Santa Fe Springs, CA 90670-8213 | 2009-11-17 |
| 1942451869 | Theresa D. Massey | Marriage & Family Therapist | 11457 Florence Ave, Santa Fe Springs, CA 90670-4358 | 2008-10-09 |
| 1700914157 | Nancy Rosi Robles | Marriage & Family Therapist | 11741 Telegraph Rd Ste A, Santa Fe Springs, CA 90670-6829 | 2007-02-28 |
| 1396822219 | Elizabeth Koo Edwards | Marriage & Family Therapist | 11460 Telegraph Rd, Santa Fe Springs, CA 90670-3142 | 2006-11-01 |
| 1780281154 | Jaclyn Aguirre | Marriage & Family Therapist | 12631 Imperial Hwy, Santa Fe Springs, CA 90670-4710 | 2020-10-08 |
| 1013547421 | Rebecca Golden | Marriage & Family Therapist | 12631 Imperial Hwy Ste C103, Santa Fe Springs, CA 90670-6735 | 2020-01-24 |
| 1427691419 | Sarah Hackett | Marriage & Family Therapist | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2019-10-22 |
| 1831745330 | Daun'ne Monique Land | Marriage & Family Therapist | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2019-08-12 |
| 1184193773 | Katia Derderian | Marriage & Family Therapist | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2018-11-13 |
| Find all providers in SANTA FE SPRINGS | ||||
| City | SANTA FE SPRINGS |
| Zip Code | 90670 |
Please comment or provide details below to improve the information on BRYAN 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.