MR. KEVIN CHAN (NPI# 1851486757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851486757 |
| Entity Type | Individual |
| Full Name | MR. KEVIN CHAN |
| Credential | MD |
| Practice Address |
1500 E Duarte Rd Duarte CA 91010 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6263598111 |
| Mailing Telephone | 6267753514 |
| Mailing Fax Number | 6262185310 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A70025 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A700250 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144349 | Kevin She-wai Chan | Student in an Organized Health Care Education/Training Program | 1501 Catch Fly Ln, Durham, NC 27713-2556 | 2020-04-29 |
| 1831640226 | Kevin Chan | Physical Therapist | 8030 Alpaca St, Rosemead, CA 91770-3989 | 2016-10-20 |
| 1225461981 | Kevin Chan | Optometrist | 8100 Boone Blvd Ste 150, Tysons Corner, VA 22182-2629 | 2013-08-16 |
| 1437330081 | Kevin E Chan | Internal Medicine | Mgh/renal Associates, 55 Fruit St, Bigelow 10 Ste 1003, Boston, MA 02114 | 2007-11-23 |
| 1790818177 | Kevin W Chan | Psychiatry & Neurology | 9300 Tech Center Dr Ste 210, Sacramento, CA 95826-2589 | 2007-03-14 |
| 1104857945 | Kevin Chan | Chiropractor | 3033 E Florence Ave, Huntington Park, CA 90255-5837 | 2006-07-06 |
| 1689202590 | Kevin Chan | Student in an Organized Health Care Education/Training Program | Weill Cornell Internal Medicine Associates, 505 East 70th Street, New York, NY 10021 | 2020-03-28 |
| 1023505591 | Kevin Jan Chan | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2018-04-19 |
| 1285176404 | Kevin Chan | Pharmacist | 425 Main St, Roosevelt Island, NY 10044-0238 | 2016-11-07 |
| 1619363017 | Kevin Chiayu Chan | Hospitalist | 725 American Ave, Waukesha, WI 53188-5031 | 2015-04-13 |
| Street Address |
1500 E DUARTE RD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731820 | John Hosei Yim | Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2006-02-27 |
| 1568989739 | Susan Shehayeb | Genetic Counselor, MS | 1500 E Duarte Rd, Duarte, CA 91010 | 2017-08-28 |
| 1992157325 | Bekir Suveyd | Internal Medicine | 1500 E Duarte Rd, Endocrinology, Gonda South Building, Suite 1011a, Duarte, CA 91010 | 2016-07-09 |
| 1548689649 | Jennifer Sarah Baecker | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2014-04-16 |
| 1295176394 | Razmig Vatche Babikian | Registered Nurse | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2013-07-17 |
| 1902197254 | Mari Bozoghlanian | Radiology | 1500 E Duarte Rd, Helford Hospital, Rm 1300, Duarte, CA 91010 | 2011-04-20 |
| 1972828366 | Jamie Green Rand | Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2010-03-29 |
| 1053565143 | Lee Zuckerman | Orthopaedic Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2008-11-16 |
| 1033368642 | Finly Zachariah | Family Medicine | 1500 E Duarte Rd, Department of Supportive Care, Duarte, CA 91010-3012 | 2008-09-18 |
| 1891965836 | Lydia Helen Mormann | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2008-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467830711 | Felicia Balzano | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2015-05-07 |
| 1881081867 | Brady Miller | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2015-04-17 |
| 1578958757 | Yasmeen M Jaber | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2015-04-03 |
| 1053731745 | Frank Anthony Myers Jr. | Urology | 1500 E. Duarte Road, Duarte, CA 91010 | 2014-04-21 |
| 1265850390 | David J. Abramowitz | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2014-04-05 |
| 1083051577 | Pooya Banapour | Urology | 1500 E. Duarte Road, Duarte, CA 91010 | 2013-05-24 |
| 1992048417 | Albert H Kim | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2013-04-03 |
| 1659639623 | Jim K. Shen | Urology | 1500 Duarte Rd, Duarte, CA 91010 | 2012-04-27 |
| 1093943854 | Jonathan Lim Yamzon | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2009-06-30 |
| 1811082720 | Clayton Lau | Urology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-10-04 |
| Find all providers in DUARTE | ||||
Please comment or provide details below to improve the information on MR. KEVIN 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.