DR. CONNIE CHAN (NPI# 1639105745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639105745 |
| Entity Type | Individual |
| Full Name | DR. CONNIE CHAN |
| Credential | D.O. |
| Practice Address |
525 N Garfield Ave Monterey Park CA 91754-1202 |
| Mailing Address |
2405 Rolling Green Dr Santa Maria CA 93455-1525 |
| Practice Telephone | 6263072129 |
| Practice Fax Number | 6263072056 |
| Mailing Telephone | 8059285331 |
| Mailing Fax Number | 8059285331 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 20A6654 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX66540 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304521 | Connie Kai Chan | Pharmacist | 420 5th Ave, New York, NY 10018-2729 | 2020-10-24 |
| 1720622400 | Connie Chan | Physical Therapist | 2322 Powell St, Emeryville, CA 94608-1738 | 2019-11-05 |
| 1174085849 | Connie Chan | Pharmacist | 13337 41st Rd, Flushing, NY 11355-3659 | 2019-04-02 |
| 1467908491 | Connie Chan | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2016-08-30 |
| 1013325745 | Connie Chan | Pharmacist | 1501 N Campbell Ave, Tucson, AZ 85724-6119 | 2014-07-25 |
| 1497163364 | Connie Chan | Psychologist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2014-07-23 |
| 1548497753 | Connie Chan | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Psy: Psychiatry, Richmond, VA 23298-5051 | 2009-06-15 |
| 1477738144 | Connie Hai-yee Chan | Emergency Medicine | 3288 Moanalua Rd, Department of Emergency Medicine, Honolulu, HI 96819-1469 | 2007-12-31 |
| 1457377210 | Connie Winnie Chan | Optometrist | 139 Endicott St, Endicott Plaza, Mass Optometric Associates, P. C., Danvers, MA 01923-4803 | 2006-07-14 |
| 1740252584 | Connie Chan | Internal Medicine | 4530 E Muirwood Dr, Suite 105, Phoenix, AZ 85048-7639 | 2006-02-06 |
| Street Address |
525 N GARFIELD AVE |
| City | MONTEREY PARK |
| State | CA |
| Zip Code | 91754-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171265 | Ahmc Garfield Medical Center Lp | General Acute Care Hospital | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2005-08-19 |
| 1447899976 | Cynthia Lu | Nurse Practitioner | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2020-01-01 |
| 1720645682 | Insignia Health Corp | Internal Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2019-05-24 |
| 1609361260 | Er Care Group Garfield A Medical Corporation | Emergency Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2018-06-26 |
| 1518457324 | Er Care Group A Medical Corporation | Emergency Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2018-05-16 |
| 1396267936 | Alex Alexani | Respiratory Therapist, Certified | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2017-07-15 |
| 1851832315 | Dedicated Hospitalist Services, Inc. | Internal Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2017-03-17 |
| 1417402025 | Yee Chi Christina Chen | Dietitian, Registered | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2016-08-24 |
| 1952752461 | Laurie Sermsakdi | Pharmacist | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2016-06-27 |
| 1598110066 | Medvantage Anesthesia Care Inc | Anesthesiology | 525 N Garfield Ave, Monterey Park, CA 91754 | 2016-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023670734 | New Hope Medical Center | Acupuncturist | 939 S Atlantic Blvd, Suit 107, Monterey Park, CA 91754 | 2019-07-02 |
| 1326574302 | Jo Ann Dorothy I | Chiropractor | 257 W. Pomona Blvd, Monterey Park, CA 91754 | 2017-05-11 |
| 1134575517 | Julie Riesz Desmond | Pediatrics | 2000 Longhill Dr., Monterey Park, CA 91754 | 2016-05-04 |
| 1023480902 | Exporter Associates | Durable Medical Equipment & Medical Supplies | 855 W El Repetto Dr Unit 11c, Monterey Park, CA 91754 | 2015-10-30 |
| 1366889784 | Jane Chi Fan, Mft. Inc | Marriage & Family Therapist | 941 S. Atlantic Blvd., Suite 221, Monterey Park, CA 91754 | 2013-05-24 |
| 1740597574 | Stephen Wesley Pope | Contractor | 3800 Concours, Suite 350, Ontario, CA 91754 | 2010-08-31 |
| 1447573324 | Sok-yin Leung | Pediatrics | 748 Rodman Circle, Monterey Park, CA 91754 | 2010-03-08 |
| 1568601151 | Jenny Pei Liu, D.d.s., Inc. | Dentist | 2071 S. Altantic Blvd., #f&g, Monterey Park, CA 91754 | 2009-02-05 |
| 1609027770 | Cali Ho | Occupational Therapist | 600 N. Garfield Ave., Monterey Park, CA 91754 | 2008-10-07 |
| 1588812358 | Eric A Garcia | Dentist | 1900 So Atlantic Blvd, Suite 1, Monterey Park, CA 91754 | 2008-09-04 |
| Find all providers in zip 91754 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275987737 | Sean Tokita | Emergency Medicine | 1822 W Longhill Dr, Monterey Park, CA 91754-4539 | 2016-04-20 |
| 1427476266 | Kimberly Marie Iwaki | Emergency Medicine | 708 Barnum Way, Monterey Park, CA 91754-2425 | 2014-03-30 |
| 1649214198 | John S Leung | Emergency Medicine | 525 N Garfield Avenue, Emergency Department, Monterey Park, CA 91754 | 2006-06-15 |
| 1780637199 | Edward T Chang | Emergency Medicine | 111 N Atlantic Blvd Ste 242, Monterey Park, CA 91754-1578 | 2006-05-18 |
| 1609361260 | Er Care Group Garfield A Medical Corporation | Emergency Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2018-06-26 |
| 1518457324 | Er Care Group A Medical Corporation | Emergency Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2018-05-16 |
| 1053680298 | Golden West Emergency Medical Associates, Inc | Emergency Medicine | 900 S Atlantic Blvd, Monterey Park, CA 91754-4716 | 2011-12-16 |
| 1194964387 | Juan Carlos Jones | Emergency Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2009-02-11 |
| 1265469696 | Dolores De Cruz | Emergency Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2006-06-28 |
| 1023052230 | Jeremy Demetri Williams | Emergency Medicine | 525 N Garfield Ave, Monterey Park, CA 91754-1202 | 2006-06-16 |
| Find all providers in MONTEREY PARK | ||||
| City | MONTEREY PARK |
| Zip Code | 91754 |
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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.