Individual provider Active NPI

Julia S Chan, MD

  • Specialist
  • Los Gatos, CA
National Provider Identifier
1245303734
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G57146 Issued in CA
Practice address
105A Cooper CT
Los Gatos, CA 95032-7604
Phone
(408) 884-2710
Fax
(408) 884-2734
NPI assigned
Nov 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G57146 CA Primary

Addresses

Primary practice location

105A Cooper CT
Los Gatos, CA 95032-7604

Mailing address

105A Cooper CT
Los Gatos, CA 95032-7604
Phone (408) 884-2710

Other identifiers 1

IdentifierTypeStateIssuer
G57146OtherCACA STATE LICENSE

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
I20090508000251 CA Practitioner - Pathology 1052480332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 A Cooper CT
Los Gatos, CA 95032-7604
Phone (408) 884-2712

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
59.16
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathology Medical Group, Inc Specialist CurrentSince Mar 22, 1990 Accepting new patients
Associated Pathology Medical Group, Inc CurrentSince Mar 22, 1990 Accepting new patients
Associated Pathology Medical Group Past Accepting new patients

Locations

105A Cooper Ct
Los Gatos, CA 95032
Phone (408) 884-2710

105 Cooper Ct
#A
Los Gatos, CA 95032

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245303734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105A COOPER CT",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327604",
            "telephone_number": "408-884-2710",
            "fax_number": "408-884-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105A COOPER CT",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327604",
            "telephone_number": "408-884-2710",
            "fax_number": "408-884-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JULIA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G57146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "G57146",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.