Active NPI
Mai-Sie F Chan, MD
- Internal Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A83362
- Practice address
- 929 Clay St
Suite 303
San Francisco, CA 94108-1556 - Phone
- (415) 956-6633
- Fax
- (415) 956-6638
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A83362 | CA | Primary |
Addresses
Primary practice location
929 Clay St
Suite 303
San Francisco, CA 94108-1556
Mailing address
929 Clay St
Suite 303
San Francisco, CA 94108-1556
Phone (415) 956-6633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A833620 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040715001308 | CA | Practitioner - Internal Medicine | 4183603848 |
Reassigns benefits to 1 organization Receives reassigned benefits from 1 practitioner Practice locations: San Francisco, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Stanford University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
929 Clay St
Suite 303
San Francisco, CA 94108-1570
Phone (415) 956-6633
Hospital & facility affiliations
- Self-Help Homecare & Hospice
- Chinese Hospital
- California Pacific Medical Center- Van Ness Campus
- UCSF Health Saint Francis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83362 | CA | MD | Pharmacist |
| A83362 | CA | MD | Internal Medicine Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mai-Sie Chan, M.D., Inc | Current | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients |
Locations
929 Clay St
Ste 303
San Francisco, CA 94108
Phone (415) 865-6633
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- maisie.chan@5319578091524.direct.elationemr.com
- maisie.chan@2938549174276.direct.elationemr.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Francisco, CA
- NPI 1437131778
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1326136557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 CLAY ST",
"address_2": "SUITE 303",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081556",
"telephone_number": "415-956-6633",
"fax_number": "415-956-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 CLAY ST",
"address_2": "SUITE 303",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081556",
"telephone_number": "415-956-6633",
"fax_number": "415-956-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "MAI-SIE",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A83362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A833620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.