CHANWELL MEDICAL GROUP, INC. (NPI# 1194747147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194747147 |
| Entity Type | Organization |
| Organization Name | CHANWELL MEDICAL GROUP, INC. |
| Practice Address |
2690 South White Road Suite 10 San Jose CA 95148-2075 |
| Mailing Address |
1715 Lundy Ave Suite 174 San Jose CA 95131-1837 |
| Practice Telephone | 4082708668 |
| Practice Fax Number | 4082708669 |
| Mailing Telephone | 4084365588 |
| Mailing Fax Number | 4084365487 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | DR. ESTRELLITA L CHAN (VICE PRESIDENT) |
| Authorized Official Telephone | 4082708668 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A35593 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0052601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316040488 | Chanwell Medical Group, Inc. | Family Medicine | 10615 S De Anza Blvd, Cupertino, CA 95014-4431 | 2006-09-06 |
| 1144324468 | Chanwell Medical Group, Inc. | Family Medicine | 2690 South White Road, Suite 10, San Jose, CA 95148-2075 | 2006-09-08 |
| Street Address |
2690 SOUTH WHITE ROAD SUITE 10 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95148-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841225893 | Nhon Du Lam | Chiropractor | 2690 South White Road, Suite 40, San Jose, CA 95148-2075 | 2006-07-11 |
| 1144324468 | Chanwell Medical Group, Inc. | Family Medicine | 2690 South White Road, Suite 10, San Jose, CA 95148-2075 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415540 | World Trekker LLC | Home Health | 2756 White Acres Drive, San Jose, CA 95148 | 2020-07-29 |
| 1962932749 | Mychau Nhu Nguyen | Acupuncturist | 2710 Gumdrop Drive, San Jose, CA 95148 | 2017-06-14 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| 1235489626 | Emerlyn Sangha | Dental Hygienist | 1878 Oakton Court, San Jose, CA 95148 | 2012-09-13 |
| 1073863502 | Uyen-ly Hoang Nguyen | Counselor | 2792 White Acres Dr, San Jose, CA 95148 | 2012-09-12 |
| 1780955880 | Tiffany Thy Nguyen | Pharmacist | 3121 Norwood Avenue, San Jose, CA 95148 | 2012-01-20 |
| 1215204722 | Stacey Nguyen | Pharmacist | 2799 S. White Road, San Jose, CA 95148 | 2011-11-28 |
| 1760670798 | Jamie Victoria Santiago | Chiropractor | 8010 Wayland Ln. Ste 1b, Gilroy, CA 95148 | 2007-10-03 |
| 1003021494 | Rosemary Evans | Dentist | 2680 S White Road, Suite 100, San Jose, CA 95148 | 2007-05-11 |
| 1942334073 | Evelyn Gaviola | Physical Therapist | 2670 S White Rd Ste 120, San Jose, CA 95148 | 2007-03-14 |
| Find all providers in zip 95148 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1861918369 | T. Chow Cardiology and Electrophysiology Medical Office | Internal Medicine | 175 N Jackson Ave Ste 111, San Jose, CA 95116-1909 | 2017-08-16 |
| 1275915431 | Careremote | Internal Medicine | 2050 Mckee Rd, Suite 54, San Jose, CA 95116-1431 | 2015-06-24 |
| 1487059960 | Evergreen Cardiology Group, Inc | Internal Medicine | 200 Jose Figueres Ave Ste 330, San Jose, CA 95116-1590 | 2014-10-27 |
| 1639351125 | Dan Van Dang | Internal Medicine | 969 Story Rd, Suite 6066, San Jose, CA 95122-2690 | 2007-11-27 |
| 1538369699 | Anjali Gulati, M.d., Inc. | Internal Medicine | 2505 Samaritan Dr Ste 404, San Jose, CA 95124-4012 | 2007-07-18 |
| 1639375959 | Amir Kaykha | Internal Medicine | 105 N Bascom Ave Ste 204, San Jose, CA 95128-1811 | 2007-06-24 |
| 1396892162 | James Barrett Weidner | Internal Medicine | 2030 Forest Ave Ste 110, San Jose, CA 95128-4833 | 2007-01-04 |
| 1710911011 | Jonathan Ting Ng | Internal Medicine | 1835 Park Ave, San Jose, CA 95126-1650 | 2006-07-10 |
| 1912936659 | South Bay Cardiology | Internal Medicine | 2039 Forest Ave #201, San Jose, CA 95128 | 2006-07-03 |
| Find all providers in SAN JOSE | ||||
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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.