Nina Chan, M.D., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NINA CHAN, M.D., INC

Practice address

980 E Foothill Blvd Ste 104
Upland, CA 91786-4068

Phone

(909) 920-3578

NPI assigned

Jan 18, 2018

Last updated

Aug 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nina Chan, M.D.NPI 1205195021

Title

Physician

Phone

(909) 920-3578

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nina Chan, M.D.

  • Family Medicine Physician
  • Upland, CA
  • NPI 1205195021
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1548778913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 E FOOTHILL BLVD STE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864068",
            "telephone_number": "909-920-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E FOOTHILL BLVD STE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864068",
            "telephone_number": "909-920-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA CHAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-920-3578",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kohan, O.D., Inc. (Mountain Eyes Optometric Center)
• Jessica Nicolle
• Nigoghosian & Nigoghosian DDS Inc
• Siavash Nikkhou, DC., MS., QME
• Holly Lynn Nikodym, FNP
• Russel Rovira Nolasco, DDS
• Norina Murphy MSW, LCSW & Associates
• Tiffany Marie Norris
• North Star Psychological Services P.C.
• Thia M Norton Bell

• Family Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.