CARNEY CHAN MD – NPI #1649611807
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

CARNEY CHAN is a surgeon located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1649611807 to CARNEY CHAN on July 16, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 4 years ago on Jul 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARNEY CHAN below.

NPI Profile for
CARNEY CHAN

NPI Number
1649611807
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CARNEY CHAN
Credentials
MD
Primary location
2220 LYNN RD STE 102
THOUSAND OAKS, CA 91360-8017
Phone: (805) 496-9727 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 CA A135731

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE - Graduated 2013
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CARNEY CHAN is affiliated with the following medical group(s):
  • HOSPITAL
    • LOS ROBLES HOSPITAL & MEDICAL CENTER
      215 W JANSS RD
      THOUSAND OAKS, CA 91360
    • SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES
      2975 N SYCAMORE DR
      SIMI VALLEY, CA 93065
  • HOME HEALTH AGENCY
    • ASSISTED HOME CARE
      10550 SEPULVEDA BLVD SUITE 116
      MISSION HILLS, CA 91345

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