Alexander Y Chan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A69498 Issued in CA

Practice address

4748 Saint Andrews Drive
Stockton, CA 95219

Phone

(209) 689-4607

Fax

(888) 250-8298

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alex Chan Other name

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

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alexander Y Chan, MD IncGroup PAC ID 7517044811, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amore Home Health Home health agency, Fremont, CA, CCN 059509
• Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
• St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
• Turlock Nursing and Rehabilitation Center Nursing home, Turlock, CA, CCN 555240
• Meadowood a Health and Rehabilitation Center Nursing home, Stockton, CA, CCN 555713
• Garden City Healthcare Center Nursing home, Modesto, CA, CCN 055185
• Crystal Creek Post-Acute Nursing home, Stockton, CA, CCN 555470
• Vintage Faire Nursing & Rehabilitation Center Nursing home, Modesto, CA, CCN 555355

Merit-based Incentive Payment System (MIPS)

Final score

94.1 of 100Reported as group

Quality

68.2

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (2 of 3)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Fig Holdings, LLC

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1801832464

  Contracted Managing Employee

  CMS ownership
• O'Connor Woods Housing Corporation

  • Skilled Nursing Facility
  • Stockton, CA
  • NPI 1730269184

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Quail Lake Holdings LLC

  • Skilled Nursing Facility
  • Stockton, CA
  • NPI 1336976778

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Tracy Ridge Healthcare, Inc.

  • Skilled Nursing Facility
  • Turlock, CA
  • NPI 1962224592

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Vintage Court Healthcare, Inc.

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1104648757

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

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.

• Alexander Y Chan, MD Inc

  • Family Medicine Physician
  • Turlock, CA
  • NPI 1831360809

  CA

  Medicare reassignment Care Compare group NPD Authorized official
• Emanuel Medical Center, Inc.

  • General Acute Care Hospital
  • Turlock, CA
  • NPI 1174615330
  NPD (past)

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

• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Turlock, CA
  • NPI 1396087672

  Hospital

  Care Compare affiliation
• Fig Holdings, LLC

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1801832464

  Nursing home

  Care Compare affiliation
• Next Level Home Health LLC

  • Home Health Agency
  • Fremont, CA
  • NPI 1316298938
  Care Compare affiliation
• O'Connor Woods Housing Corporation

  • Skilled Nursing Facility
  • Stockton, CA
  • NPI 1730269184

  Nursing home

  Care Compare affiliation
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931

  Hospital

  Care Compare affiliation
• Quail Lake Holdings LLC

  • Skilled Nursing Facility
  • Stockton, CA
  • NPI 1336976778

  Nursing home

  Care Compare affiliation
• Tracy Ridge Healthcare, Inc.

  • Skilled Nursing Facility
  • Turlock, CA
  • NPI 1962224592

  Nursing home

  Care Compare affiliation
• Vintage Court Healthcare, Inc.

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1104648757

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1386722296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7979",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95267",
            "telephone_number": "209-689-4607",
            "fax_number": "888-250-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 SAINT ANDREWS DRIVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95219",
            "telephone_number": "209-689-4607",
            "fax_number": "888-250-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ALEXANDER",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69498",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A69498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "CHAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Swarna Chakrabarty
• Chaluth
• Dalee Cham
• Ashley Chamberlain, BCBA
• Lacey Chamberlain, AMFT
• Ayden Brandon Chan
• Chanbophaul Monica Chan
• Christine Chan
• Clarissa Chan
• Kristy Chan

• All providers in Stockton, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.