Adrienne Carol Mar Chan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA53152 Issued in CA

Practice address

1850 S Azusa Ave Ste 206
Hacienda Heights, CA 91745-6853

Phone

(626) 810-5450

Fax

(626) 810-0391

NPI assigned

Feb 15, 2016

Last updated

May 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Nevada School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modena Allergy and Asthma Inc.Group PAC ID 9436545274, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Modena Allergy & Asthma Inc.

  dba Modena Allergy & Asthma

  • Allergy & Immunology Physician
  • La Jolla, CA
  • NPI 1508527797
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment
• Adult & Child Allergy-Asthma Clinic Inc

  • Allergy & Immunology Physician
  • Hacienda Heights, CA
  • NPI 1801909668
  NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Modena Allergy & Asthma II Inc.

  • Allergy & Immunology Physician
  • Vista, CA
  • NPI 1518836444
  NPD (past)

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1699134098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4303",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001",
            "telephone_number": "858-260-2977",
            "fax_number": "858-332-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 206",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456853",
            "telephone_number": "626-810-5450",
            "fax_number": "626-810-0391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Santa Anita St Ste 335",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917761160",
            "country_code": "US",
            "telephone_number": "760-941-4444",
            "fax_number": "760-941-8902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 S Garfield Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918013893",
            "country_code": "US",
            "telephone_number": "626-284-3400",
            "fax_number": "626-284-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ADRIENNE",
        "middle_name": "CAROL MAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53152",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA53152",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "101049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catharine Lee, O.D., Inc.
• Catherine Huang OD a Professional Corporation
• Cbsa Home Care, Inc. (Right at Home Hacienda Heights)
• Bernardo Cebreros
• Jessica Cervantes
• Paul Jimmy Chan, DDS
• Ying Chan
• Alex Chang
• Chun Chun Chang, L.AC
• George Chiao-Tung Chang

• Physician Assistant in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.