DR. KENNETH KA CHAN (NPI# 1811079106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811079106 |
| Entity Type | Individual |
| Full Name | DR. KENNETH KA CHAN |
| Credential | D.D.S. |
| Practice Address |
1315 Fair Oaks Ave Ste 103 South Pasadena CA 91030-3868 |
| Practice Telephone | 6267998068 |
| Practice Fax Number | 6267998069 |
| Mailing Telephone | 6267998068 |
| Mailing Fax Number | 6267998069 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 47857 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912091919 | Kenneth Dong Chan | Internal Medicine | 789 Vallejo St, San Francisco, CA 94133-3834 | 2006-10-03 |
| 1124446117 | Kenneth Kin Kan Chan | Family Medicine | 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 | 2014-04-07 |
| 1033421177 | Kenneth Chan | Occupational Therapist | 18 Heyward St, Brooklyn, NY 11211-9210 | 2010-07-06 |
| 1336306083 | Kenneth Kian-lip Chan | Physician Assistant | 11 Bishop Place, Occupational Health Dept B3, New Brunswick, NJ 08901 | 2008-05-20 |
| 1780762435 | Kenneth K.m. Chan | Internal Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1861422370 | Kenneth Mankin Chan | Internal Medicine | 207 S Santa Anita Ave, San Gabriel, CA 91776-1146 | 2006-07-03 |
| 1649236480 | Kenneth Kai Hei Chan | Specialist | 23441 Madison St, #290, Torrance, CA 90505-4725 | 2006-04-21 |
| 1720042138 | Kenneth Chan | Psychiatry & Neurology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-13 |
| 1639178460 | Kenneth Kwok-chun Chan | Pediatrics | 140 Haverhill St, Andover, MA 01810-1504 | 2005-07-14 |
| Street Address |
1315 FAIR OAKS AVE STE 103 |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-3868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275943672 | Tracy Ha | Dentist | 1315 Fair Oaks Ave Ste 103, South Pasadena, CA 91030-3868 | 2014-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124350038 | Daniel Yacobi | Dentist | 1140 Fremont Ave, South Pasadena, CA 91030-5759 | 2010-02-02 |
| 1679751101 | Ashish J Vashi | Dentist | 1928 Huntington Dr Ste B, South Pasadena, CA 91030-4874 | 2008-02-06 |
| 1366594996 | Jennifer Suzanne Mantione | Dentist | 6967 Sunset Dr S, South Pasadena, FL 33707-2817 | 2007-01-16 |
| 1942377445 | Janette Segovia Cabalinan | Dentist | 820 Mission St Ste A, South Pasadena, CA 91030-3385 | 2006-11-29 |
| 1699871921 | David Stevenson | Dentist | 1136 Fremont Ave, Suite 107, South Pasadena, CA 91030-5757 | 2006-09-15 |
| 1578576708 | Silas E Daniel IIi | Dentist | 933 Oleander Way S, Suite 6, South Pasadena, FL 33707 | 2006-08-15 |
| 1881603223 | Hala Ahmed Al-tarifi | Dentist | 1730 Huntington Dr, Ste 102, South Pasadena, CA 91030-4878 | 2006-08-05 |
| 1467093419 | Timothy Kook | Dentist | 813 Fair Oaks Ave, South Pasadena, CA 91030-2605 | 2019-10-01 |
| 1992203707 | Amir Beg | Dentist | 6882 Gulfport Blvd S, South Pasadena, FL 33707 | 2018-01-26 |
| 1497271852 | Joseph Thomas Chess | Dentist | 500 Columbia St, South Pasadena, CA 91030-1652 | 2017-08-17 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
Please comment or provide details below to improve the information on DR. KENNETH KA 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.