MS. CLARISSA SHERRILL CHAN


Address: 685 Coleman Ave Ste 20, San Jose, CA 95110
Phone: 4082176404

MS. CLARISSA SHERRILL CHAN (NPI# 1356876064) 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) 1356876064
Entity Type Individual
Full Name MS. CLARISSA SHERRILL CHAN
Credential PA-C
Practice Address 685 Coleman Ave Ste 20
San Jose
CA 95110
Mailing Address 325 Distel Cir
Los Altos
CA 94022-1408
Practice Telephone 4082176404
Enumeration Date 2017-05-01
Last Update Date 2020-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 54392 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
889 Pippin Dr, Sunnyvale, CA 940871177 4087020245

Other Providers CLARISSA CHAN

NPI Name Taxonomy Address Enumeration
1720542426 Clarissa Ping Chan Pharmacist 773 Florence Rd, Florence, MA 01062-3654 2019-01-27
1447651013 Clarissa Chan Pharmacist 148 Eastern Blvd, 400, Glastonbury, CT 06033-4321 2014-09-15

Office Location

Street Address 685 COLEMAN AVE STE 20
City SAN JOSE
State CA
Zip Code 95110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679070072 Kody Cabreros Nurse Practitioner 685 Coleman Ave Ste 20, San Jose, CA 95110 2018-04-11
1093244246 Diem-thuy Thi Le Physician Assistant 685 Coleman Ave Ste 20, San Jose, CA 95110-2011 2017-06-09
1962931600 Victoria Perez Nurse Practitioner 685 Coleman Ave Ste 20, San Jose, CA 95110-2000 2017-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366895666 Lifemoves - Autumn Satellite Clinic Case Management 263 N Autumn St, San Jose, CA 95110 2016-07-21
1487067278 Catholic Charities of Scc Community/Behavioral Health 921 S 1st St, San Jose, CA 95110 2014-06-09
1871855916 Act for Mental Health, Inc Psychologist 441 Park Avenue, San Jose, CA 95110 2012-06-14
1730451238 Jackson Huang Nurse Practitioner 685 Coleman Ave, San Jose, CA 95110 2012-01-31
1104000405 Kaitlyn Brownell Case Manager/Care Coordinator 150-a S. Autumn St., San Jose, CA 95110 2007-12-21
1760685218 Sharon Iwen Wang Psychologist 2033 Gateway Pl Fl 5, San Jose, CA 95110 2007-06-11
1528192036 Wanda Broadie Alexander Social Worker 441 Park Ave, San Jose, CA 95110 2007-03-15
1750442208 Mario Ricardo Ponce Counselor 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 2006-12-12
1467426882 Lannie S. Zarate-reyes D.d.s., Inc. Dentist 579-10 Coleman Avenue, San Jose, CA 95110 2006-02-14
1194374827 Little Spirits LLC Clinic/Center 77 N Almaden Ave, Ste #102, San Jose, CA 95110 2019-09-05
Find all providers in zip 95110

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922607423 Emily Halla Physician Assistant 7473 Gresham Ct, San Jose, CA 95139-1424 2020-10-26
1881210029 Jeremy Nathan Birch Physician Assistant 1287 San Moritz Dr, San Jose, CA 95132-2754 2020-06-23
1609491158 Kaitlin Aquino Physician Assistant 1382 Bing Dr, San Jose, CA 95129-4703 2020-06-10
1275152282 Heema K Bhagat Physician Assistant 6967 Sessions Dr, San Jose, CA 95119-1335 2020-04-09
1013557925 Kassaundra Cervantes Physician Assistant 2114 Mckee Rd, San Jose, CA 95116-1427 2020-01-08
1508416207 Shelley Brunkan Physician Assistant 227 Giddings Ct, San Jose, CA 95139-1421 2019-09-14
1053960724 Caroline Luczak Physician Assistant 88 E San Fernando St, San Jose, CA 95113-2535 2019-09-05
1336704402 Irene Rummel Physician Assistant 1227 Gehrig Ave, San Jose, CA 95132-2714 2019-05-04
1801350749 Brenda H.t. Nguyen Physician Assistant 1102 Brooks Range Lndg, San Jose, CA 95131-3803 2019-01-24
1477021848 Christina Ly Physician Assistant 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 2018-11-05
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95110

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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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