Individual provider Active NPI

Winnie Chan

  • Family Nurse Practitioner
  • Monterey Park, CA
National Provider Identifier
1396552741
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031753 Issued in CA
Practice address
600 N Garfield Ave Ste 111
Monterey Park, CA 91754-1167
Phone
(626) 280-3651
Fax
(626) 280-3079
NPI assigned
Dec 18, 2024
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031753 CA Primary

Addresses

Primary practice location

600 N Garfield Ave Ste 111
Monterey Park, CA 91754-1167

Mailing address

600 N Garfield Ave Ste 111
Monterey Park, CA 91754-1167
Phone (626) 280-3651

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213002979 CA Practitioner - Nurse Practitioner 7517497944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M D Medical Center IncGroup PAC ID 7618922113, 3 clinicians

Practice addresses (Care Compare)

600 N Garfield Ave
Suite 111
Monterey Park, CA 91754-1167
Phone (626) 280-3651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M.D. Medical Center, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

600 N Garfield Ave
Ste 111
Monterey Park, CA 91754
Phone (626) 280-3651

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1396552741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE STE 111",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541167",
            "telephone_number": "626-280-3651",
            "fax_number": "626-280-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE STE 111",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541167",
            "telephone_number": "626-280-3651",
            "fax_number": "626-280-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "WINNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.