Individual provider Active NPI

Alec Spencer Chan, PA-C

  • Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1326779679
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2025-0001 Issued in NM
Practice address
1691 Galisteo St Ste D
Santa Fe, NM 87505-4781
Phone
(505) 955-9454
Fax
(505) 982-0279
NPI assigned
Jun 17, 2022
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2025-0001 NM Primary

Addresses

Primary practice location

1691 Galisteo St Ste D
Santa Fe, NM 87505-4781

Mailing address

PO Box 6880
Santa Fe, NM 87502-6880
Phone (505) 216-0332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212001962 NM Practitioner - Physician Assistant 8224567730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Care CenterGroup PAC ID 8921043035, 28 clinicians

Practice addresses (Care Compare)

649 Harkle Rd
Suite E
Santa Fe, NM 87505-4765
Phone (505) 955-9454

901 W Alameda St
Santa Fe, NM 87501-1681
Phone (505) 955-9454

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2025-0001NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Care Center CurrentSince Nov 17, 2025 Accepting new patients
Southwest Care Center CurrentSince Nov 17, 2025 Accepting new patients

Locations

1691 Galisteo St
Ste D
Santa Fe, NM 87505
Phone (505) 954-1921

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

Interoperability endpoints

  • Direct secure messaging: alec.chan.1@19212.direct.athenahealth.com

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, 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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1326779679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6880",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026880",
            "telephone_number": "505-216-0332",
            "fax_number": "505-982-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054781",
            "telephone_number": "505-955-9454",
            "fax_number": "505-982-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ALEC",
        "middle_name": "SPENCER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2025-0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.