Active NPI
Michael Wing-Keung Chan, MD
- Neuroradiology Physician
- San Francisco, CA
National Provider Identifier
1104312982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 156837
- Practice address
- 505 Parnassus Ave
San Francisco, CA 94143-2204 - Phone
- (202) 629-6910
- NPI assigned
- Jul 5, 2018
- Last updated
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 156837 | CA | Primary |
Addresses
Primary practice location
505 Parnassus Ave
San Francisco, CA 94143-2204
Mailing address
8 Locksley Ave Apt 2M
San Francisco, CA 94122-3856
Phone (202) 629-6910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156837 | CA | MD | Neuroradiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1104312982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 LOCKSLEY AVE APT 2M",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223856",
"telephone_number": "202-629-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432204",
"telephone_number": "202-629-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "MICHAEL",
"middle_name": "WING-KEUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "156837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.