David Deguire Chan, D.O.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

20A13372 Issued in CA

Practice address

10840 Warner Ave Ste 103
Fountain Valley, CA 92708-3847

Phone

(714) 395-4595

NPI assigned

Jul 16, 2010

Last updated

Nov 21, 2019By 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 3

Addresses

Other identifiers 1

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

HospitalistAlso: Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpha Hospitalist Group IncGroup PAC ID 7719266006, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advantage Health Systems Home health agency, Costa Mesa, CA, CCN 059511
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
• Mission Palms Healthcare Center Nursing home, Westminster, CA, CCN 056271
• Beachside Nursing Center Nursing home, Huntington Beach, CA, CCN 555027
• Fountain Valley Post Acute Nursing home, Fountain Valley, CA, CCN 555328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dchan457952@direct.memorialcare.org

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Awhc,LLC

  • Skilled Nursing Facility
  • Westminster, CA
  • NPI 1538492830

  Adp of the SNF

  CMS ownership

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.

• Alpha Hospitalist Group Inc

  • Hospitalist Physician
  • Fountain Valley, CA
  • NPI 1982086914

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Scientia Caritas Medicine

  • Multi-Specialty Clinic/Center
  • Fountain Valley, CA
  • NPI 1588231187
  Medicare reassignment NPD Authorized official
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Addiction Medicine (Internal Medicine) Physician
  • Tustin, CA
  • NPI 1891981502
  NPD

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

• Awhc,LLC

  • Skilled Nursing Facility
  • Westminster, CA
  • NPI 1538492830

  Nursing home

  Care Compare affiliation
• Desert Mallow Healthcare, Inc.

  dba Beachside Nursing Center

  • Skilled Nursing Facility
  • Huntington Beach, CA
  • NPI 1275246704

  Nursing home

  Care Compare affiliation
• Egb Holdings

  dba Advantage Health Systems

  • Home Health Agency
  • Costa Mesa, CA
  • NPI 1023305331
  Care Compare affiliation
• Fountain Valley Community Healthcare, LLC

  dba Fountain Valley Post Acute

  • Skilled Nursing Facility
  • Fountain Valley, CA
  • NPI 1992407779

  Nursing home

  Care Compare affiliation
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1497068688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 WARNER AVE STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083847",
            "telephone_number": "714-395-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 WARNER AVE STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083847",
            "telephone_number": "714-395-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DAVID",
        "middle_name": "DEGUIRE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A13372",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125057749",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A13372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20A13372",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth L Chambers, M.D., M.P.H
• Sheila Walcott Chambers
• Chan Kieu MD Inc
• Chan Le Nguyen MD Inc
• Chiwai E Chan, D.O.
• Doris Chan
• Julie Chan, PT, DPT
• Lisa Mika Chan, PA-C
• Steven Craig Chan, D.D.S.
• Chang W. Rhee, M.D., a Professional Corporation

• Hospitalist Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.