Justin Hwa Chan, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

A160158 Issued in CA

Practice address

332 Santa Fe Dr Ste 110
Encinitas, CA 92024-5143

Phone

(760) 943-6700

NPI assigned

Apr 12, 2013

Last updated

Jun 18, 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 2

Addresses

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

Hand SurgeryAlso: Orthopedic Surgery

Education

University of California, San Diego School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Dieguito Orthopedic Medical Center P CGroup PAC ID 0143201442, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jchan322486@scrippshlth.medalliesdirect.net

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.

• San Dieguito Orthopedic Medical Center P C

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1356433965

  Hand Surgery

  Medicare reassignment Care Compare group NPD
• La Jolla Spine Institute Medical Group, Inc.

  dba Spine Institute of San Diego

  • Orthopaedic Surgery of the Spine Physician
  • San Diego, CA
  • NPI 1073677811
  NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)

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

• Scripps Health

  dba Scripps Memorial Hospital Encinitas

  • General Acute Care Hospital
  • Encinitas, CA
  • NPI 1700829199
  Care Compare affiliation

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1619310208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SANTA FE DR STE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SANTA FE DR STE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245143",
            "telephone_number": "760-943-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JUSTIN",
        "middle_name": "HWA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "39",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A160158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosecella Chambers, CRNA
• Sabah N Chammas, MD
• Christina Jacobson Champagne, CNM
• Craig A Chan, DDS
• Eric Chan, PHARM. D.
• Nicholas Yik-Fung Chan, M.D.
• Yuk Ching Cecily Chan, DO
• Kristina Chang, PT, DPT
• Mattison Chapman, ND
• Martin L Charlat, M.D.

• Orthopaedic Hand Surgery Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Orthopaedic Hand Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.