Individual provider Active NPI

Paul Chan, MD

  • Physical Medicine & Rehabilitation Physician
  • Downey, CA
National Provider Identifier
1417481995
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A172694 Issued in CA
Practice address
7601 Imperial Hwy
Downey, CA 90242-3456
Phone
(562) 385-7111
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A172694 CA Primary

Addresses

Primary practice location

7601 Imperial Hwy
Downey, CA 90242-3456

Mailing address

7601 Imperial Hwy
Downey, CA 90242-3456
Phone (562) 385-7111

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920001866 CA Practitioner - Physical Medicine and RehabilitationPractitioner - General Practice 3577819143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Un of California, Riverside, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Health and Rehab PCGroup PAC ID 8325315609, 29 clinicians

Practice addresses (Care Compare)

6401 33Rd St
Riverside, CA 92509-1404
Phone (201) 654-6397

Hospital & facility affiliations

  • Lac/Rancho Los Amigos National Rehabilitation Ctr Hospital, Downey, CA, CCN 050717

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A172694CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Sep 1, 2021 Accepting new patients
Integrated Rehab Consultants California Inc Physical Medicine & Rehabilitation CurrentSince Apr 22, 2023 Accepting new patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Jun 6, 2023 Accepting new patients
Marko Bodor MD a Professional Corporation Physical Medicine & Rehabilitation CurrentSince Jan 1, 2022 Accepting new patients

Locations (25 of 27)

1130 W La Palma Ave
Anaheim, CA 92801
Phone (714) 772-7480

5151 Knudsen Dr
Bakersfield, CA 93308
Phone (661) 325-9900

1609 Trousdale Dr
Burlingame, CA 94010
Phone (530) 400-3060

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

1350 E Devonshire Ave
Hemet, CA 92544
Phone (951) 925-2571

7160 Fay Ave
La Jolla, CA 92037
Phone (858) 459-4361

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 434-1101

2415 S Western Ave
#1182
Los Angeles, CA 90018

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

3010 Beard Rd
Napa, CA 94558
Phone (707) 257-1550

3421 Villa Ln
Ste 2B
Napa, CA 94558
Phone (707) 255-5454

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

1155 E Springfield Ave
Reedley, CA 93654
Phone (559) 638-9225

6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

1161 Cirby Way
Roseville, CA 95661
Phone (916) 782-1238

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

467 E Gilbert St
Sn Bernrdno, CA 92404
Phone (707) 255-3300

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

1150 Tilton Dr
Sunnyvale, CA 94087
Phone (408) 735-2700

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

4444 W Meadow Ave
Visalia, CA 93277
Phone (559) 251-8463

Organizations & group practices 4

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.

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1417481995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423456",
            "telephone_number": "562-385-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423456",
            "telephone_number": "562-385-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A172694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.