STEPHEN CHAN (NPI# 1073019899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
| Street Address |
1411 E 31ST STREET 2ND FLOOR A2 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
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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.