Ricci Chan, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

36737 Issued in CA

Practice address

424 N San Mateo Dr Ste 300
San Mateo, CA 94401-2492

Phone

(650) 697-9497

Fax

(650) 274-0205

NPI assigned

Aug 1, 2006

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1447267950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012492",
            "telephone_number": "650-697-9497",
            "fax_number": "650-274-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012492",
            "telephone_number": "650-697-9497",
            "fax_number": "650-274-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "RICCI",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Chaikind, MD
• Chalet Home Services Inc.
• Ashley S Chan, DDS
• Chloe Chan
• Nicholas T Chan, OD
• Tania S Chan, MSW, LCSW
• Tracey Y Chan
• Yeung Chan, LAC
• Rachel Elizabeth Chandra, LCSW
• D-Wana Crystal Chaney

• Dentist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.