Roy Chan, MD
Individual provider Active NPI Family Medicine Physician · Tulare, CA
NPI 1700040656 · NPPES record last updated Jan 5, 2015
Key facts
- NPI
- 1700040656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A117014 (CA)
- Practice address
- 1050 N Cherry St
Tulare, CA 93274-2251 - Phone
- (559) 684-8703
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventist Health Physicians Network
Practice addresses (Care Compare)
1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695
951 E Merritt Ave
Tulare, CA 93274-2221
Phone (559) 537-0348
975 E Merritt Ave
Tulare, CA 93274-2221
Phone (559) 605-2160
Hospital & facility affiliations
- Adventist Health Home Care Services
- Adventist Health Tulare
- Kaweah Health Medical Center
- Adventist Health Hanford
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180105001213 | CA | Practitioner - Family Practice | 3577713163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117014 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Kaweah Delta Health Care Inc | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Visalia Medical Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients |
Locations
1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695
975 E Merritt Ave
Tulare, CA 93274
Phone (559) 605-2160
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A117014 | CA | Yes |
Addresses
Primary practice location
1050 N Cherry St
Tulare, CA 93274-2251
Mailing address
1050 N Cherry St
Tulare, CA 93274-2251
Phone (559) 684-8703
Other providers in Tulare, CA
- Olivia Cervantes
- Sayra Cervantes
- Martha Chacon
- Mudar Chalati
- Jeri Pauline Chambers
- Jessica Chance
- Alexandra Nicole Chaney
- Jeffrey C Chang
- Christina Chavarria
- Andrea J Chavez-Tovar
All providers in Tulare, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.