KEN YU KI CHAN


Address: 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809
Phone: 7144465313

KEN YU KI CHAN (NPI# 1720632136) 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) 1720632136
Entity Type Individual
Full Name KEN YU KI CHAN
Credential ACNP
Practice Address 101 E Valencia Mesa Dr
Fullerton
CA 92835-3809
Mailing Address 2961 Blakeman Ave
Rowland Heights
CA 91748-4812
Practice Telephone 7144465313
Practice Fax Number 7144465120
Mailing Telephone 6266783929
Enumeration Date 2019-07-25
Last Update Date 2020-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
95011854 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
101 The City Dr S, Orange, CA 928683298 7144567890

Other Providers KEN CHAN

NPI Name Taxonomy Address Enumeration
1972063832 Ken Chan Student in an Organized Health Care Education/Training Program 3616 195th St # 3f, Flushing, NY 11358-4015 2019-03-25
1215124342 Ken S. Chan Dentist 1176 Olivewood Dr, Merced, CA 95348-1210 2007-10-03

Office Location

Street Address 101 E VALENCIA MESA DR
City FULLERTON
State CA
Zip Code 92835-3809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912989591 Pei-jing Ma Physician Assistant 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 2005-11-18
1508493461 Key Medical Rehab Inc. Physical Medicine & Rehabilitation 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2020-03-23
1902439938 Collin Michael Fuhrman Physician Assistant 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2020-02-18
1427697762 Ashley Jungkman Dietitian, Registered 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2020-01-03
1548812332 Don R Miller Pharmacist 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2019-07-11
1700445640 Hanna Ro Physician Assistant 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2019-06-12
1023674298 Gwendolyn Nguyen Physician Assistant 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2019-05-14
1073072963 Daniel Benjamin Graviloni Respiratory Therapist, Registered 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2019-03-19
1639655947 Noli Veneracion Physical Therapist 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2018-07-19
1346726908 Tracy Nickloff Social Worker 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2018-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538774302 Natalie Baugh Nutritionist 333 W Bastanchury Rd 110, Fullerton, CA 92835 2020-09-09
1073127098 Cecile Mae Sam Physical Therapist 2932 Clover Ct, Fullerton, CA 92835 2020-09-08
1861966087 Kimson F Johnston Marriage & Family Therapist 1370 Brea Blvd Suite 210, Fullerton, CA 92835 2019-01-22
1134636327 Michelle Harriman, Psychologist - A Professional Corporation Psychologist 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 2018-01-09
1659818631 Jacqueline Rene Miller Specialist/Technologist 2610 Associated Rd, Apt A4, Fullerton, CA 92835 2017-01-27
1912361106 John Nathaniel Alvarez Psychiatry & Neurology 401 E Imperial Highway, Fullerton, CA 92835 2016-04-13
1083075030 Advance Recovery Solution, LLC Substance Abuse Rehabilitation Facility 3744 N Hermosa Pl, Fullerton, CA 92835 2016-03-17
1467817981 Michele Ledesma Physical Therapy Assistant 2800 N. Harbor Blvd., Fullerton, CA 92835 2015-12-29
1467820571 Jonghan Kang Acupuncturist 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 2015-09-04
1265840987 Allison Leigh Kennedy Physician Assistant 100 Laguna Rd Ste 208, Fullerton, CA 92835 2014-07-25
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427373208 Jill Renee Harris Nurse Practitioner 2240 N. Harbor Blvd, Suite 200, Fullerton, CA 92835 2010-04-05
1013191840 Paulo Narvaez Jusay Nurse Practitioner 2328 Greenwich Dr, Fullerton, CA 92833-1208 2007-12-28
1801278965 Kristin Lawler Nurse Practitioner 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2015-06-25
1407278427 Alissa Ulanday Nurse Practitioner 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 2014-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023619442 Dolores Josephine Meehan Nurse Practitioner South Bay Vascular Center, 2255 South Bascom Avenue Suite 200, Campbell, CA 95008-7800 2020-11-03
1013517960 Kristina Pulliam Markey Nurse Practitioner 11234 Anderson Strreet, Loma Linda, CA 92354 2020-10-29
1851990550 Fernanda Monteon Ibarra Nurse Practitioner 30222 Belmont Ct, Agoura Hills, CA 91301-4611 2020-10-22
1780283168 Brenda Rienru Rhima Nurse Practitioner 24657 Rockston Dr, Corona, CA 92883-1614 2020-10-18
1215535034 Shiji John Nurse Practitioner 3765 Gunnison Cir, Corona, CA 92881-8486 2020-10-14
1053919258 Lacey Etienne Neufeld Nurse Practitioner Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 2020-10-12
1063028298 Kanokwan Kultan Nurse Practitioner 15850 Babcock St, San Diego, CA 92127-3680 2020-09-22
1538775093 David Lee Nurse Practitioner 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 2020-09-21
1124634886 Catherine Kestenian Nurse Practitioner 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 2020-09-18
1285249565 Anu Tharoor Nurse Practitioner 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 2020-09-13
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Competitor

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City FULLERTON
Zip Code 92835

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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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