CHANWELL MEDICAL GROUP INC. NPI 1316040488

NPI Information

NPI: 1316040488
Provider Name: CHANWELL MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
10615 S DE ANZA BLVD
CUPERTINO, CA
ZIP 95014
Phone: (408) 343-0888
Get Directions

CHANWELL MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Cupertino, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CHANWELL MEDICAL GROUP, INC. NPI is 1316040488. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10615 S DE ANZA BLVD
CUPERTINO, CA
ZIP 95014-431
Phone: (408) 343-0888
Fax: (408) 343-0688

The provider's authorized official is Estrellita L Chan .
The authorized official title is Vice President and has the following contact phone number (408) 270-8668.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 2/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	208000000X	Pediatrics		No
3	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0052602	MEDICAID	CALIFORNIA
2	ZZZ45859Z	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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