Mai-Sie Chan, M.D., Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAI-SIE CHAN, M.D., INC

Practice address

929 Clay St Ste 303
San Francisco, CA 94108-1570

Phone

(415) 956-6633

Fax

(415) 956-6638

NPI assigned

Feb 6, 2023

Last updated

Jul 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mai-Sie Chan, MDNPI 1326136557

Title

Owner

Phone

(415) 956-6633

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mai-Sie F Chan, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1326136557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1396441929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CLAY ST STE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081570",
            "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 STE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081570",
            "telephone_number": "415-956-6633",
            "fax_number": "415-956-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI-SIE CHAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MAI-SIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-956-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A833620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Michael Mahoney
• Talia Mahony, MD
• Asmaa Mahoui
• Mai Nursing Anesthesia PC (Kaleidoscope Anesthesia Nursing)
• Mai Shimada Medical PC
• Betty Yu Yi Mai, DDS
• David Mai, CRNA
• Dexter Tzulun Mai, LCSW
• Fiona Mai
• Gina Mai

• Primary Care Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.