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Takkeung Kenneth Chan, RPH

Pharmacist · San Jose

NPI 1407110638

Medicare standing
2 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • California licence: Delinquent

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Takkeung Kenneth Chan’s office at (408) 793-2759 to ask if they take your plan before you enroll.

California Medical Board record

Licence G43610 · Delinquent

Licence status: Delinquent · since 1980 · expires 2026-07-31 · University of Illinois College of Medicine. Board flags: Citation Issued.

License renewal fee has not been paid. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
2025-12-23CitationSection 1338(c) of Title 16, California Code of Regulations · $1,000

Professional record

NPI
1407110638
Licence
CA 43610California G43610: Delinquent · expires 2026-07-31
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 183500000X (183500000X)
Mailing address
1400 Parkmoor #120a, San Jose, CA, 95126
NPI first listed
2012-07-03
NPI last updated
2012-07-03

This is when the NPI record was last certified, not a medical board exam.