Rex Chan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009017 Issued in CA

Practice address

1631 Creekside Dr Ste 102
Folsom, CA 95630-3820

Phone

(916) 250-0377

Fax

(916) 250-0378

NPI assigned

Jun 26, 2018

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Sockolov & Sockolov a Professional Corporation

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1205875663
  Medicare reassignment NPD
• Sutter North Medical Foundation

  dba Sutter North Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1821583576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN STE 303",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192336",
            "telephone_number": "209-464-3627",
            "fax_number": "209-464-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 CREEKSIDE DR STE 102",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303820",
            "telephone_number": "916-250-0377",
            "fax_number": "916-250-0378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8715 Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958237921",
            "country_code": "US",
            "telephone_number": "916-245-8888",
            "fax_number": "916-924-3386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "REX",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America - Psychiatry PC (Vituity)
• Haley Chaboya, PTA
• Chaffin Chiropractic, Inc. (Core Chiropractic Center)
• Kristofer T. Chaffin, D.C.
• Timothy A Chaffin, DC
• Samita Chandi, MD
• Lindsey Stephanie Chang, DMD, INC.
• Robert J Charles, MD
• Gaurisha Chauhan, OT
• Claire Yvette Chavarria

• Family Nurse Practitioner in Folsom, CA
• Providers in Folsom, 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 Nov 22, 2024; 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.