Individual provider Active NPI

Dennis Y. Chan, M. D.

  • Gastroenterology Physician
  • Monterey Park, CA
National Provider Identifier
1053343434
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A43296 Issued in CA
Practice address
500 N Garfield Ave
Suite 107
Monterey Park, CA 91754-1242
Phone
(626) 280-3225
Fax
(626) 280-4222
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A43296 CA Primary

Addresses

Primary practice location

500 N Garfield Ave
Suite 107
Monterey Park, CA 91754-1242

Mailing address

PO Box 6427
Alhambra, CA 91802-6427
Phone (626) 280-3225

Other identifiers 2

IdentifierTypeStateIssuer
00A432961MedicaidCA
00A432960OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101022000014 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4183611635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Global Gastroenterology Group IncGroup PAC ID 5395090120, 2 clinicians

Practice addresses (Care Compare)

120 W Hellman Ave
Suite 201
Monterey Park, CA 91754-1209
Phone (626) 280-3003

120 W Hellman Ave
Suite 201
Monterey Park, CA 91754-1242

500 N Garfield Ave
Monterey Park, CA 91754-1242

Hospital & facility affiliations

  • Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy146
Upper gastrointestinal (GI) endoscopy for acid reflux69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Global Gastroenterology Group Inc Gastroenterology CurrentSince Apr 10, 2018 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations

500 N Garfield Ave
Ste 107
Monterey Park, CA 91754
Phone (626) 280-3003

120 W Hellman Ave
Ste 201
Monterey Park, CA 91754
Phone (626) 280-3003

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunny Village Care CenterAlhambra, CA, CCN 055203 Skilled nursing facility 5% Or Greater Direct Ownership Interest (9.6%)
Direct Ownership Interest
Oct 15, 2010
Oct 15, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1053343434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6427",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918026427",
            "telephone_number": "626-280-3225",
            "fax_number": "626-280-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "SUITE 107",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-280-3225",
            "fax_number": "626-280-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DENNIS",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A43296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A432961",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A432960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.