DR. GARY H CHAN (NPI# 1700855350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700855350 |
| Entity Type | Individual |
| Full Name | DR. GARY H CHAN |
| Credential | DDS |
| Practice Address |
233 Cajon St Suite 4 Redlands CA 92373-5257 |
| Practice Telephone | 9097986600 |
| Practice Fax Number | 9097980028 |
| Mailing Telephone | 9097986600 |
| Mailing Fax Number | 9097980028 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
37200 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528301512 | Gary Chan | Student in an Organized Health Care Education/Training Program | 155 N Fresno St Ste 338, Fresno, CA 93701-2302 | 2013-03-28 |
| 1033606231 | Gary Chan | Optometrist | 3600 Rosemead Blvd, Rosemead, CA 91770-2066 | 2018-04-13 |
| 1801314711 | Gary Chan | Student in an Organized Health Care Education/Training Program | 2121 W Temple St, Los Angeles, CA 90026-4915 | 2017-08-31 |
| 1346694536 | Gary Chan | Anesthesiology | 757 Westwood Plz Ste 3304, Los Angeles, CA 90095-8358 | 2016-04-14 |
| 1548649254 | Gary Chi-hung Chan | Student in an Organized Health Care Education/Training Program | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2015-05-27 |
| 1356775357 | Gary Chan | Pharmacist | 1740 Eastchester Rd, Bronx, NY 10461-2300 | 2013-08-26 |
| 1316016512 | Gary M. Chan | Pediatrics | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-11-06 |
| 1699702324 | Gary Lee Chan | Internal Medicine | 909 Hyde St, Suite 210, San Francisco, CA 94109-4822 | 2006-06-27 |
| Street Address |
233 CAJON ST SUITE 4 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346615572 | John J. Cesario Dds., Inc. | Public Health or Welfare | 233 Cajon St, Suite 8, Redlands, CA 92373-5257 | 2015-12-14 |
| 1972757037 | Gerard Sabate | Dentist | 233 Cajon St, Suite 1, Redlands, CA 92373-5257 | 2008-11-15 |
| 1982739033 | John Joseph Cesario | Dentist | 233 Cajon St, Suite 8, Redlands, CA 92373-5257 | 2007-02-22 |
| 1568518744 | Karl E Aamot, D.c. A Chiropractic Corporation | Chiropractor | 233 Cajon St, Suite 6, Redlands, CA 92373-5257 | 2007-01-28 |
| 1184720328 | Wayne Brandt | Dentist | 233 Cajon St, Ste. 2, Redlands, CA 92373-5257 | 2006-09-15 |
| 1457371650 | E. Patrick Hoag | Dentist | 233 Cajon St, Suite 1, Redlands, CA 92373-5257 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821194192 | Anil Pitamber Punjabi | Dentist | 295 Terracina Blvd., Redlands, CA 92373 | 2006-09-15 |
| 1295843324 | John H Choi | Dentist | 422 Orange St, Redlands, CA 92374-3206 | 2006-08-28 |
| 1871908038 | Francisco E Suarez | Dentist | 308 W State St Ste 4a, Redlands, CA 92373-4626 | 2014-06-26 |
| 1699082818 | Randall W Halliday Dds, Inc | Dentist | 245 Terracina Blvd, Suite 211a, Redlands, CA 92373-4852 | 2010-09-09 |
| 1487704326 | Randall W Halliday | Dentist | 245 Terracina Blvd, Suite 211a, Redlands, CA 92373-4852 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| 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.