SUSANA SO CHING CHAN RN NPI 1396496808

NPI Information

NPI: 1396496808
Provider Name: SUSANA SO CHING CHAN, RN
Classification: Registered Nurse - 163WG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
7200 BANCROFT AVE
OAKLAND, CA
ZIP 94605
Phone: (510) 828-4308
Get Directions

Susana So Ching Chan, RN is a gerontology registered nurse in Oakland, CA. Susana So Ching Chan, RN NPI is 1396496808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7200 BANCROFT AVE
OAKLAND, CA
ZIP 94605-403
Phone: (510) 828-4308

The enumeration date for this NPI number is 1/17/2022 and was last updated on 1/17/2022.

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	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	462255	CALIFORNIA	No
2	163WG0600X	Registered Nurse	Gerontology	462255	CALIFORNIA	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	462255	OTHER	CALIFORNIA	CALIFORNIA BOARD OF REGISTERED NURSING

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »