Michael Yu Hin Chan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61365 Issued in CA

Practice address

5866 Mowry School Rd
Newark, CA 94560-5367

Phone

(510) 656-4400

NPI assigned

Jun 11, 2012

Sex

Male

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1780946228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N GOLDEN STATE BLVD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953803953",
            "telephone_number": "209-216-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 MOWRY SCHOOL RD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605367",
            "telephone_number": "510-656-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MICHAEL",
        "middle_name": "YU HIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Castillo
• Suly Magaly Castro Moreno
• Caitlan Ashlee Cecere
• Certified Care Solutions LLC
• Scott Harrison Chambers, DC
• Jessica Chang
• Shital Sheth Chatwani, O.D.
• Anu Chauhan
• Alexandra Chavez
• Karem Dalisay Chavez, SLP

• General Practice Dentistry in Newark, CA
• Providers in Newark, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.