Aegean H Chan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A154683 Issued in CA

Practice address

2323 Oak Park LN Ste 202
Santa Barbara, CA 93105-4276

Phone

(805) 892-8111

Fax

(805) 892-8333

NPI assigned

Apr 3, 2012

Sex

Female

Sole proprietor

No

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

Specialty

DermatologyAlso: Pathology

Education

Albert Einstein College of Medicine of Yeshiva University, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Dermatology Group PCGroup PAC ID 8729482021, 2 clinicians

Mission Pathology Consultants IncGroup PAC ID 8224152731, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

Merit-based Incentive Payment System (MIPS)

Final score

97.58 of 100Reported as group

Quality

89.06

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.02 of 100Reported as group

Quality

100

Improvement activities

40

Cost

73.4

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: achan@cadermgroup.emadirect.md

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.

• California Dermatology Group PC

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1104405943
  Medicare reassignment Care Compare group NPD Authorized official
• Mission Pathology Consultants, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Barbara, CA
  • NPI 1356409379
  Medicare reassignment Care Compare group NPD
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)

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

• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  Care Compare affiliation

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1356607451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 OAK PARK LN STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054276",
            "telephone_number": "805-892-8111",
            "fax_number": "805-892-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 OAK PARK LN STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054276",
            "telephone_number": "805-892-8111",
            "fax_number": "805-892-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Viborg Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Solvang",
            "state": "CA",
            "postal_code": "934633224",
            "country_code": "US",
            "telephone_number": "805-892-8111",
            "fax_number": "805-892-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "AEGEAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A154683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samara Chafitz, OTR/L
• Lesli Chaidez
• Amy I Chalker, RD
• Mark Chamberlain
• Jessica Chan Morales
• Brenna Chan, PA-C
• Hoi Ki Maggie Chan
• Ryan Chan
• Kristin Leigh Chancellor, MD
• Alyssa Kaur Chandi, M.D

• Dermatology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.