Michael Galen Chan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A110820 Issued in CA

Practice address

200 W Arbor Dr
Radiology Department
San Diego, CA 92103-9000

Phone

(619) 663-8882

NPI assigned

Jun 9, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 6)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Fullerton Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1861451858

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD Authorized official
• David C P Chen, M.D., Inc

  • Radiology Clinic/Center
  • San Gabriel, CA
  • NPI 1285785519

  CA

  Medicare reassignment Care Compare group NPD
• United Premier Physicians Inc

  • Diagnostic Radiology Physician
  • Monterey Park, CA
  • NPI 1831853266

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• C J Calvin Yang, M D a Professional Corp

  • Radiology Clinic/Center
  • Alhambra, CA
  • NPI 1902998370

  Diagnostic Radiology

  NPD
• Usc University Hospital, Inc.

  • Psychiatric Hospital Unit
  • Los Angeles, CA
  • NPI 1790718500
  NPD (past)

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

• Riverside Healthcare System, L.P.

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1114971660

  Hospital

  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279

  Hospital

  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942

  Hospital

  Care Compare affiliation
• Temecula Valley Hospital Inc

  • General Acute Care Hospital
  • Temecula, CA
  • NPI 1679816201

  Hospital

  Care Compare affiliation
• Uhs-Corona Inc

  • General Acute Care Hospital
  • Corona, CA
  • NPI 1457347239

  Hospital

  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

University of California, San Diego School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David C P Chen, M.D., Inc 18 clinicians

Fullerton Radiology Medical Group Inc 55 clinicians

United Premier Physicians Inc 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
• Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1285929067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "619-663-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "619-663-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MICHAEL",
        "middle_name": "GALEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A110820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey H Chan
• Linda Huey-Shang Chan, D.D.S.
• Mabel Chan, RN
• Marilynn Chan, M.D.
• Matthew Chan
• Michelle Chan
• Patrick Chan, PHARM.D.
• Raymond Yuen-Fong Chan, M.D.
• Ruth Chan
• Tiffany Chan

• All providers in San Diego, CA
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.