STEPHEN CHAN


Address: 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602
Phone: 5104375039

STEPHEN CHAN (NPI# 1073019899) 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) 1073019899
Entity Type Individual
Full Name STEPHEN CHAN
Credential MD
Practice Address 1411 E 31st Street
2nd Floor A2
Oakland
CA 94602
Practice Telephone 5104375039
Practice Fax Number 5105357313
Mailing Telephone 5104375039
Mailing Fax Number 5105357313
Enumeration Date 2018-04-02
Last Update Date 2018-04-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers STEPHEN CHAN

NPI Name Taxonomy Address Enumeration
1699157222 Stephen Chan Student in an Organized Health Care Education/Training Program Wbamc, Attn: Gme, 5005 N. Piedras St., El Paso, TX 79920-5001 2015-06-19
1730160524 Stephen Y Chan Internal Medicine 200 Lothrop Street, Bst E1240, Pittsburgh, PA 15213-2536 2005-11-08
1477167179 Stephen Andrew Chan Registered Nurse 9380 Forestwood Ln Ste B, Manassas, VA 20110-4735 2020-09-01
1982109138 Stephen Chan Student in an Organized Health Care Education/Training Program 4150 V St # 1100, Sacramento, CA 95817-1460 2018-03-29
1568994010 Stephen A Chan Otolaryngology 200 1st St Sw, Rochester, MN 55905 2017-04-03
1760833420 Stephen Michael Chan Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd, West Hollywood, CA 90048-1804 2016-06-23
1598029845 Stephen M. Chan Physical Therapist 2500 Merced St, San Leandro, CA 94577-4201 2012-07-02
1356638597 Stephen Chan Dentist 1425 Montgomery Rd, Red Bluff, CA 96080-4605 2011-07-08
1659556140 Stephen L Chan Pharmacist 4150 Clement Street, San Francisco, CA 94121 2008-01-03
1235333741 Stephen M Chan Oral & Maxillofacial Surgery 3610 Shire Blvd, Suite 200, Richardson, TX 75082 2007-06-11

Office Location

Street Address 1411 E 31ST STREET
2ND FLOOR A2
City OAKLAND
State CA
Zip Code 94602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396764353 Alameda Health System General Acute Care Hospital 1411 E 31st Street, Oakland, CA 94602 2006-07-19
1992267413 Ludan Zhao Student in an Organized Health Care Education/Training Program 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602 2019-04-03
1528520210 Gabrielle Goodlin Student in an Organized Health Care Education/Training Program 1411 E 31st Street, 2nd Floor, A2, Oakland, CA 94602 2019-04-02
1225458573 Michael Wu Anesthesiology 1411 E 31st Street, Attn Anesthesia Department, Oakland, CA 94602 2014-04-24
1740465517 Eunice Flores-uselman Poetry Therapist 1411 E 31st Street, Oakland, CA 94602 2007-12-29
1043492275 Sonji Francine Walker Social Worker 1411 E 31st Street, Oakland, CA 94602 2007-11-29
1467632265 Sharon Ann Abram Social Worker 1411 E 31st Street, Oakland, CA 94602 2007-11-08
1700087590 Alameda Health System General Acute Care Hospital 1411 E 31st Street, Oakland, CA 94602 2007-05-30
1740332931 Alameda Health System Surgery 1411 E 31st Street, Oakland, CA 94602 2007-01-17
1134206162 Ronald Adler Internal Medicine 1411 E 31st Street, Oakcare Medical Group, Oakland, CA 94602-1080 2006-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376151845 Nicholas Collins Pac Lac Inc Acupuncturist 3433 Brunell Dr, Oakland, CA 94602 2020-07-21
1225667850 Elaine Dellinger Student in an Organized Health Care Education/Training Program Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 2020-04-06
1356804033 Jayakala Lakireddy Student in an Organized Health Care Education/Training Program Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 2019-04-10
1750844585 Kirea J Mazzolini Student in an Organized Health Care Education/Training Program Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 2019-04-09
1912478587 Joie Mazor Chiropractor 3201 Macarthur Blvd., Oakland, CA 94602 2018-12-07
1114424884 Jesse Santos Student in an Organized Health Care Education/Training Program Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 2018-04-10
1679078646 Tia Vang Student in an Organized Health Care Education/Training Program 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 2018-03-29
1942704101 Michael Mian Student in an Organized Health Care Education/Training Program 1411 E 31st St, Qic 22123, Oakland, CA 94602 2018-03-22
1063916575 Charisma Kaushik Student in an Organized Health Care Education/Training Program 1411 East 31st Street, Qic 22123, Oakland, CA 94602 2018-03-20
1841711363 David Christopher Carroll Pharmacist 1411 E. 31st Street, Oakland, CA 94602 2017-07-06
Find all providers in zip 94602

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750988762 Mohini Gadre Student in an Organized Health Care Education/Training Program Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 2020-10-02
1063028454 Abduljabbar Alhammoud Student in an Organized Health Care Education/Training Program Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 2020-09-21
1316553290 Yohannes Fesseha Gebrehiwet Student in an Organized Health Care Education/Training Program 2221 9th Ave, Oakland, CA 94606-2613 2020-09-16
1700490729 Briauna J Taylor Student in an Organized Health Care Education/Training Program 1638 47th Ave, Oakland, CA 94601-5273 2020-09-08
1578174116 Jenae Monasterial Student in an Organized Health Care Education/Training Program 1722 Clemens Rd, Oakland, CA 94602-1802 2020-08-16
1205447299 Brendan Mulligan Student in an Organized Health Care Education/Training Program 530 24th St Apt 202, Oakland, CA 94612-1723 2020-08-12
1962029595 Yuan Yan Student in an Organized Health Care Education/Training Program 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 2020-06-30
1043836778 Ali Khavari Student in an Organized Health Care Education/Training Program 450 30th St Ste 2860, Oakland, CA 94609-3302 2020-06-18
1952925208 Melodee Edith Au Student in an Organized Health Care Education/Training Program 2445 Telegraph Ave Apt 305, Oakland, CA 94612-2426 2020-06-02
1871116913 Stew Ellington Student in an Organized Health Care Education/Training Program 420 Avon St, Oakland, CA 94618-1024 2020-05-23
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94602

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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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