Organization Active NPI

Denise Kan MD

  • Internal Medicine Physician
  • Redwood City, CA
National Provider Identifier
1073483046
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DENISE KAN MD
Practice address
400 Seaport CT Ste 203
Redwood City, CA 94063-2767
Phone
(650) 727-1940
NPI assigned
Nov 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Denise Kan, MD
Title
MD/Owner
Phone
(650) 703-9084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

400 Seaport CT Ste 203
Redwood City, CA 94063-2767

Mailing address

400 Seaport CT Ste 203
Redwood City, CA 94063-2767
Phone (650) 727-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260105003139 CA Part B Supplier - Clinic/Group Practice 4284120783 Receives reassigned benefits from 1 practitioner
Practice locations: Redwood City, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2333858Denise Kan, MD400 Seaport CT Ste 203, Redwood City, CA 94063Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1073483046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SEAPORT CT STE 203",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632767",
            "telephone_number": "650-727-1940",
            "fax_number": "833-764-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SEAPORT CT STE 203",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632767",
            "telephone_number": "650-727-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE KAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "KAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "650-703-9084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.