Michelle L. Chan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

177343 Issued in CA

Practice address

1726 New Ave
San Gabriel, CA 91776-3734

Phone

(626) 943-0780

Fax

(626) 943-0200

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of California, San Diego School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michelle L Chan a Professional Corporation

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1427361146
  Medicare reassignment NPD Authorized official
• Ahmc Garfield Medical Center LP

  dba Garfield Medical Center

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Ahmc San Gabriel Valley Medical

  dba AHMC San Gabriel Valley Medical Center

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818
  NPD (past)
• Alhambra Hospital Medical Center, LP

  • General Acute Care Hospital
  • Alhambra, CA
  • NPI 1811099674
  NPD (past)
• PTP, Inc

  dba Practical Therapy

  • Physical Therapist
  • Alhambra, CA
  • NPI 1699050260
  NPD (past)
• Z & C Medical Group Inc

  • Internal Medicine Physician
  • Rowland Heights, CA
  • NPI 1295280113
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• L. a. Downtown Medical Center, LLC.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1780183335
  Care Compare affiliation
• L. a. Downtown Medical Center, LLC.

  • Rehabilitation Hospital Unit
  • Los Angeles, CA
  • NPI 1982351565
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1043326283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 NEW AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763734",
            "telephone_number": "626-943-0780",
            "fax_number": "626-943-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 NEW AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763734",
            "telephone_number": "626-943-0780",
            "fax_number": "626-943-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "177343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A547860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ho Chan
• Jennifer Chan, PPS
• Jennifer Tak Yin Chan, PA
• Kenneth Mankin Chan, M.D.
• Luke K Chan, M.D.
• Roger S Chan, L.AC
• Steven Chan
• William W Chan, D.C.
• Araceli David Chanbonpin, M.D.
• Chang Le Acupuncture & Herbs Inc

• Internal Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.