Individual provider Active NPI

Dylan Kar-Shuen Chan, M.D., PH.D.

  • Otolaryngology Physician
  • Palo Alto, CA
National Provider Identifier
1255578167
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A105273 Issued in CA
Practice address
801 Welch Rd
Palo Alto, CA 94304-1611
Phone
(650) 723-6661
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A105273 CA Primary

Addresses

Primary practice location

801 Welch Rd
Palo Alto, CA 94304-1611

Mailing address

801 Welch Rd
Palo Alto, CA 94304-1611

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
I20130529000047 CA Practitioner - Otolaryngology 4789830860 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105273CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Otolaryngology CurrentSince Aug 20, 2013 Accepting new patients
University of California San Francisco CurrentSince Nov 13, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Nov 13, 2017 Accepting new patients
University of California SFGH Medical Group CurrentSince Aug 20, 2013 Accepting new patients
UCSF Medical Group Business Services Otolaryngology CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Seattle Children'S Hospital Past Accepting new patients

Locations

1825 4th St
Fl 3
San Francisco, CA 94143
Phone (415) 353-2566

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

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

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1825 4th St
Ste 331
San Francisco, CA 94143

1825 4th St
#M3262A
San Francisco, CA 94143
Phone (415) 353-1154

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

1001 Potrero Ave
Rm 3A32
San Francisco, CA 94110
Phone (628) 206-8291

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1255578167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041611",
            "telephone_number": "650-723-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DYLAN",
        "middle_name": "KAR-SHUEN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A105273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.