Individual provider Active NPI

Karence Kam Chan, M.D.

  • Diagnostic Radiology Physician
  • Newport Beach, CA
National Provider Identifier
1194821488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G78318 Issued in CA
Practice address
One Hoag Drive
Newport Beach, CA 92660
Phone
(949) 263-8620
Fax
(949) 263-1639
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G78318 CA Primary

Addresses

Primary practice location

One Hoag Drive
Newport Beach, CA 92660

Mailing address

PO Box 3095
Newport Beach, CA 92659-0659
Phone (949) 263-8620

Other identifiers 1

IdentifierTypeStateIssuer
00G783180MedicaidCA

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
I20110119001056 CA Practitioner - Diagnostic Radiology 7315126687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Radiology Associates Medical Group IncGroup PAC ID 1850285735, 69 clinicians
Newport Center Radiology Associates Medical Group IncGroup PAC ID 7810800166, 60 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534

15000 Kensington Park Dr
Suite 150
Tustin, CA 92782-1836
Phone (714) 477-8340

16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 764-4624

16250 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 365-3534

19582 Beach Blvd
Suite 160
Huntington Beach, CA 92648-2996
Phone (714) 378-4992

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

360 San Miguel Dr
Suite 105And106
Newport Beach, CA 92660-7853
Phone (949) 365-3534

3877 Portola Pkwy
Irvine, CA 92602-0828
Phone (949) 557-0720

6352 Irvine Blvd
Irvine, CA 92620-2102
Phone (949) 764-2888

993 Avenida Pico
Suite 110
San Clemente, CA 92673-3908
Phone (949) 764-5573

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78318CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Center Radiology Associates Medical Group Inc Diagnostic Radiology CurrentSince Jul 15, 1998 Accepting new patients
Newport Harbor Radiology Associates Medical Group, Inc Diagnostic Radiology CurrentSince Jul 15, 1998 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Children'S Hospital at Mission Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Newport Center Radiology Medical Group Inc. Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

16305 Sand Canyon Ave
Ste 160
Irvine, CA 92618
Phone (949) 557-0180

16305 Sand Canyon Ave
Ste 150
Irvine, CA 92618
Phone (949) 557-0170

18301 Von Karman Ave
Ste 310
Irvine, CA 92612
Phone (949) 645-3534

16300 Sand Canyon Ave
Ste 301
Irvine, CA 92618
Phone (949) 453-1173

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534

455 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 574-8200

360 San Miguel Dr
#105106
Newport Beach, CA 92660

360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

510 Superior Ave
Ste 200A
Newport Beach, CA 92663
Phone (949) 764-7363

360 San Miguel Dr
Ste 106
Newport Beach, CA 92660
Phone (949) 721-8191

Dept LA 21705
Pasadena, CA 91185

Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620

Organizations & group practices 8

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 6

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194821488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3095",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590659",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOAG DRIVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KARENCE",
        "middle_name": "KAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G78318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G783180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.