Jacqueline Bayading Chan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017629 Issued in CA

Practice address

4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423-5514

Phone

(818) 922-2129

Fax

(818) 922-2025

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prohealth Internal Medicine IncGroup PAC ID 6709328396, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentle Loving Care Home health agency, Glendale, CA, CCN 757400
• Sera Healthcare Home health agency, Burbank, CA, CCN 757743

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Prohealth Internal Medicine, Inc

  • Primary Care Clinic/Center
  • Sherman Oaks, CA
  • NPI 1912772047
  Medicare reassignment Care Compare group

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

• Gentle Loving Care

  • Home Health Agency
  • Glendale, CA
  • NPI 1376125120
  Care Compare affiliation
• Sera Healthcare

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1497320527
  Care Compare affiliation

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1770240434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20639 LEMMER ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114502",
            "telephone_number": "818-519-6072",
            "fax_number": "818-782-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 WOODMAN AVE STE 300",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235514",
            "telephone_number": "818-922-2129",
            "fax_number": "818-922-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JACQUELINE",
        "middle_name": "BAYADING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Cha
• Hannah Chae
• Ararat Chakhoyan, PHD
• Jessica Lynn Chalmers, PA-C
• Brooke Chambers
• Danny L Chang, M.D.
• Adam Tiger Chanthakeo
• Marcia Chapnick, MFCC
• Denise Chappell
• Charitable Home Health, Inc.

• Family Nurse Practitioner in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.