CHRISTIAN NICHOLAS CHAN (NPI# 1649704172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649704172 |
| Entity Type | Individual |
| Full Name | CHRISTIAN NICHOLAS CHAN |
| Practice Address |
1701 W Charleston Blvd #400 Las Vegas NV 89102-2325 |
| Practice Telephone | 7026712273 |
| Practice Fax Number | 7023859399 |
| Mailing Telephone | 7026712273 |
| Mailing Fax Number | 7023859399 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| 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 |
|---|---|---|---|---|
| 1720236847 | Christian Shaunlyn Chan | Student in an Organized Health Care Education/Training Program | 26 Central St, Somerville, MA 02143-2827 | 2008-09-03 |
| Street Address |
1701 W CHARLESTON BLVD #400 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184601239 | University of Nv School of Medicine Multi Specialty Group Practice So | Pediatrics | 1701 W Charleston Blvd, #110, Las Vegas, NV 89102-2325 | 2005-12-29 |
| 1285193375 | Robert M Mercer | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 | 2019-03-18 |
| 1407343155 | Hui Feng | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 | 2018-04-18 |
| 1497250658 | Matthew Scott Carrea | General Practice | 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 | 2018-03-28 |
| 1558897884 | Mjd, LLC | Dentist | 1701 W Charleston Blvd, 520, Las Vegas, NV 89102-2325 | 2017-05-05 |
| 1902332398 | Mariam Al-hamad | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, #400, Las Vegas, NV 89102-2325 | 2017-05-04 |
| 1942735808 | Tyler Paul Heeren | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, Suite 230, Las Vegas, NV 89102-2325 | 2017-04-27 |
| 1164955993 | Manvinder Singh Kumar | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, #490, Las Vegas, NV 89102-2325 | 2017-04-08 |
| 1376076232 | Katherine Rief | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, #230, Las Vegas, NV 89102-2325 | 2017-04-07 |
| 1710410766 | Michael Elias | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 | 2017-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
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| 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 |
|---|---|---|---|---|
| 1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
| 1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
| 1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
| 1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
| 1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
| 1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
| 1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
| 1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
| 1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
| 1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
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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.