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AMANDA CHAN DC
NPI 1952956336
Chiropractor in Berkeley, CA

Active since August 02, 2019
2459 ASHBY AVE, BERKELEY, CA 94705(510) 984-3348 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Chan Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA CHAN DC (NPI 1952956336) is an individual chiropractor in Berkeley, California, licensed in California (DC33899) and active in the NPI registry since August 2019. She is a graduate of Life Chiropractic College - West (2017).

NPPES Registry Identity

NPI1952956336
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameAMANDA CHANCredential: DC
Location Address2459 ASHBY AVEBerkeley, CA 94705-2009
Mailing Address25 Kimberlin Heights DrOakland, CA 94619-2321 · (774) 270-2199
Phone(510) 984-3348
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2017
Enumeration DateAugust 2, 2019
✔ NPI 1952956336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC33899
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2459 ASHBY AVE, Berkeley, CA 94705
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Chan Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355827494
PECOS Enrollment IDI20260109002959

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL S ADELMAN DDS
Dentist
2459 ASHBY AVE
BERKELEY, CA 94705
Alameda County (510) 548-4567
DR. RENEE BARTLETT D.C.
Chiropractor
2459 ASHBY AVE
BERKELEY, CA 94705
Alameda County (510) 845-1195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Chan's NPI number?

The NPI number for Amanda Chan is 1952956336. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Amanda Chan located?

Amanda Chan practices at 2459 Ashby Ave, Berkeley, CA 94705. The listed phone number is (510) 984-3348.

What is Amanda Chan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Amanda Chan enrolled in Medicare?

Yes. Amanda Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Chan was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.