Individual provider Active NPI

Shu Wing Chan, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1497828586
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A301750 Issued in CA
Practice address
929 Clay Street
Suite 303
San Francisco, CA 94108-1570
Phone
(415) 956-6633
Fax
(415) 956-6638
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A301750 CA Primary
Cardiovascular Disease Physician 207RC0000X A30175 CA

Addresses

Primary practice location

929 Clay Street
Suite 303
San Francisco, CA 94108-1570

Mailing address

929 Clay Street
Suite 303
San Francisco, CA 94108-1570
Phone (415) 956-6633

Other identifiers 1

IdentifierTypeStateIssuer
001301750MedicaidCA

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
I20090810000227 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1557414539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinese Hospital AssociationGroup PAC ID 9436042413, 37 clinicians

Practice addresses (Care Compare)

845 Jackson St
San Francisco, CA 94133-4851
Phone (415) 677-2399

929 Clay St
Suite 303
San Francisco, CA 94108-1570
Phone (415) 956-6633

Hospital & facility affiliations

  • Chinese Hospital Hospital, San Francisco, CA, CCN 050407
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A301750CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Hospital Association CurrentSince Apr 28, 2009 Accepting new patients
Shu-Wing Chan M.D., Inc. Cardiovascular Disease CurrentSince Apr 28, 2009 Accepting new patients
Chinese Hospital Association CurrentSince Apr 28, 2009 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

929 Clay St
Ste 303
San Francisco, CA 94108
Phone (415) 865-6633

1800 31st Ave
San Francisco, CA 94122
Phone (415) 566-0633

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

845 Jackson St
#B1
San Francisco, CA 94133
Phone (415) 677-2370

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shuwing.chan@2938549174276.direct.elationemr.com

Organizations & group practices 6

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 3

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1497828586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CLAY STREET",
            "address_2": "SUITE 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 STREET",
            "address_2": "SUITE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081570",
            "telephone_number": "415-956-6633",
            "fax_number": "415-956-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SHU WING",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A301750",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A30175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001301750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.