MS. VIVIAN CHAN (NPI# 1205899168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205899168 |
| Entity Type | Individual |
| Full Name | MS. VIVIAN CHAN |
| Credential | MS, NP |
| Practice Address |
795 Willow Rd Menlo Park CA 94025-2539 |
| Mailing Address |
1265 Clark Way Palo Alto CA 94304-2335 |
| Practice Telephone | 6504935000 |
| Mailing Telephone | 4152978580 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
14381 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN LICENSE | 553431 | 01 |
| CA | NP FURNISHING NUMBER | 14381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356529275 | Vivian Hui-wen Chan | Dentist | 1830 41st Ave, Capitola, CA 95010-2505 | 2008-02-01 |
| 1760042006 | Vivian Chan | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2019-06-18 |
| 1538691860 | Vivian Chan | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-27 |
| 1316321193 | Vivian Shuk Man Chan | Internal Medicine | 37 Friend St, Lynn, MA 01902-3068 | 2015-07-12 |
| 1396045621 | Vivian Chan | Pharmacist | 3233 Foothill Blvd, La Crescenta, CA 91214-2636 | 2010-11-03 |
| 1780910620 | Vivian Chan | Pathology | 5601 De Soto Ave, Woodland Hills, CA 91365 | 2009-10-28 |
| 1386875219 | Vivian Lee Chan | Student in an Organized Health Care Education/Training Program | 1145 Gayley Ave Ste 322, Los Angeles, CA 90024-3415 | 2009-07-27 |
| 1932305687 | Vivian Mun Gee Chan | Physical Therapist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-06-21 |
| 1831188283 | Vivian Fung Chan | Dentist | 4304 Main St, Flushing, NY 11355-4742 | 2005-10-18 |
| Street Address |
795 WILLOW RD |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481282 | Alyse Michele Gulack | Audiologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2020-09-10 |
| 1114571213 | Suzanne Deisher | Art Therapist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-07-26 |
| 1003473984 | Timothy J Avery | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-05-25 |
| 1093278483 | Jeane Bosch | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-04-11 |
| 1417436122 | Erin Elena Martinez | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2018-08-13 |
| 1619484961 | Tequila Webb | Social Worker | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2018-01-09 |
| 1952815987 | Melinda Sue Ward | Social Worker | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-11-29 |
| 1992218234 | Ashley Bauer | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-11-08 |
| 1740790898 | Julia Mwangi | Pharmacist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-10-03 |
| 1083134993 | Eric Angelo Davis | Counselor | 795 Willow Rd, 332, Menlo Park, CA 94025 | 2017-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639330269 | Abigail Abar-calica | Nurse Practitioner | 795 Willow Rd, Building 331, B-wing, Office B-147, Menlo Park, CA 94025-2539 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
Please comment or provide details below to improve the information on MS. VIVIAN 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.