Individual provider Active NPI

Sun-Yin Chan, M.D.

  • Specialist
  • San Jose, CA
National Provider Identifier
1275636227
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G59752 Issued in CA
Practice address
2060 Forest Ave Ste 100
San Jose, CA 95128-4835
Phone
(408) 278-1180
Fax
(408) 278-1938
NPI assigned
Sep 6, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 G59752 CA Primary

Addresses

Primary practice location

2060 Forest Ave Ste 100
San Jose, CA 95128-4835

Mailing address

2060 Forest Ave Ste 100
San Jose, CA 95128-4835
Phone (408) 278-1180

Other names 1

  • Eric Chan Professional name

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
I20120103000363 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3678749249 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Chicago, Pritzker School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2060 Forest Ave
Suite 100
San Jose, CA 95128-4835
Phone (408) 278-1180

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59752CAMDGeneral Practice Dentistry
G59752CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Ambulatory Surgical Associates LLC Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: schan125584@santaclaravalley.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275636227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 FOREST AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284835",
            "telephone_number": "408-278-1180",
            "fax_number": "408-278-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 FOREST AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284835",
            "telephone_number": "408-278-1180",
            "fax_number": "408-278-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SUN-YIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G59752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "CHAN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.