DR. JEFFREY ALEXANDER CHAN (NPI# 1588914733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588914733 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALEXANDER CHAN |
| Credential | DC, CSCS, ART |
| Practice Address |
1250 Addison St Suite 102 Berkeley CA 94702-1700 |
| Practice Telephone | 5108831126 |
| Practice Fax Number | 5108839926 |
| Mailing Telephone | 4155198376 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
32375 | CA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
32375 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303665 | Jeffrey Chan | Radiologic Technologist | 2735 Ulloa St, San Francisco, CA 94116-2321 | 2020-07-17 |
| 1295101798 | Jeffrey Chan | Acupuncturist | 39 E Broadway Ste 302, New York, NY 10002-6804 | 2015-08-19 |
| 1841630993 | Jeffrey Chi Kin Chan | Student in an Organized Health Care Education/Training Program | 215 W Merlot Dr, Covina, CA 91723-1565 | 2013-07-02 |
| 1417918343 | Jeffrey Chan | Surgery | 8906 135th St, Suite 2t, Jamaica, NY 11418-2821 | 2006-03-30 |
| 1962024182 | Jeffrey Allen Chan | Pharmacist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-05-11 |
| 1326523820 | Jeffrey James Chan | Physical Therapist | 10 Columbus Cir, New York, NY 10019-1158 | 2018-10-01 |
| 1568834448 | Jeffrey Chan | Physical Therapist | 2030 Addison St, Berkeley, CA 94704-1158 | 2015-10-30 |
| 1497091789 | Jeffrey Lu-wei Chan | Pharmacist | 164 W Jackson St, Hayward, CA 94544-1810 | 2012-12-14 |
| 1598015562 | Jeffrey Chan | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2012-09-17 |
| 1770843112 | Jeffrey Dulay Chan | Registered Nurse | 1450 S Imperial Ave, El Centro, CA 92243-4200 | 2012-05-18 |
| Street Address |
1250 ADDISON ST SUITE 102 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356676407 | Deirdre Mcloughlin | Physical Therapist | 1250 Addison St, Suite 102, Berkeley, CA 94702-1700 | 2009-10-07 |
| 1336665074 | Michelle Ahn Md Sc | Psychiatry & Neurology | 1250 Addison St, Ste 113, Berkeley, CA 94702 | 2017-08-15 |
| 1396008173 | Lelke Chiropractic Inc. | Chiropractor | 1250 Addison St, Suite 102, Berkeley, CA 94702-1700 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235169053 | Innersport Chiropractic, Ltd. | Chiropractor | 1250 Addison St Ste 102, Berkeley, CA 94702-1749 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707199 | Pacific Integrative Medical Group Inc | Chiropractor | 2232 Santa Monica Blvd # 101, Santa Monica, CA 90404-2312 | 2020-07-22 |
| 1497394779 | Beavers Better Health Chiropractic, Inc. | Chiropractor | 5707 Marconi Ave Ste D, Carmichael, CA 95608-4471 | 2020-01-03 |
| 1932758679 | Johnnie C Morgan Iv | Chiropractor | 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 | 2019-09-05 |
| 1386291920 | Ar'neka Montford | Chiropractor | 7109 Cardenas Way, Sacramento, CA 95828-3935 | 2019-08-19 |
| 1811459738 | Garrett Neill | Chiropractor | 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 | 2019-04-01 |
| 1952869661 | Pelofsky Sports Chiropractic | Chiropractor | 700 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3863 | 2019-03-12 |
| 1790252963 | Andrew Winthrop | Chiropractor | 400 Continental Blvd Ste 6070, El Segundo, CA 90245-5076 | 2018-10-25 |
| 1497233522 | Pure Sports Medical Corporation | Chiropractor | 4300 Tradewinds Dr Ste 300, Oxnard, CA 93035-1458 | 2018-07-31 |
| 1548751951 | Jeffrey Christopher Abreu | Chiropractor | 1451 66th St, Emeryville, CA 94608-1004 | 2018-05-21 |
| 1093206641 | Ulberg Healing Choices & Chiropractic, Inc | Chiropractor | 901 Greenwich Dr, Thousand Oaks, CA 91360-6022 | 2018-05-18 |
| 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.