Individual provider Active NPI

Matilda Chan, M.D., PH.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1245334606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A95474 Issued in CA
Practice address
95 Kirkham St
San Francisco, CA 94143-0001
Phone
(415) 476-1442
Fax
(415) 502-2521
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California SFGH Medical Group 566 clinicians
UCSF Medical Group Business Services 1,533 clinicians
Regents of the University of California 706 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518

1001 Potrero Ave BLDG 80 Ward 83
Suite 32
San Francisco, CA 94110-3518
Phone (628) 206-8610

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

UCSF Office of Medical Affairs and Governance Box
2001 The Embarcadero Suite 1500
San Francisco, CA 94143

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

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
I20061226000167 CA Practitioner - Ophthalmology 3971503855 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95474CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services Ophthalmology CurrentSince Nov 26, 2012 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 26, 2012 Accepting new patients
City & County of San Francisco CurrentSince Aug 21, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 21, 2007 Accepting new patients
City and County of San Francisco CurrentSince Aug 21, 2019 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Regents of the University of California CurrentSince Feb 19, 2014 Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jul 21, 2007 Accepting new patients
University of California San Francisco CurrentSince Sep 16, 2010 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Sep 16, 2010 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

533 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-7192

1001 Potrero Ave
Rm 4M39
San Francisco, CA 94110
Phone (415) 206-3219

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A95474 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

95 Kirkham St
San Francisco, CA 94143-0001

Mailing address

129 Sandringham South
Moraga, CA 94556

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245334606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SANDRINGHAM SOUTH",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "94556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 KIRKHAM ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-476-1442",
            "fax_number": "415-502-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MATILDA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A95474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.