Individual provider Active NPI

Nicole Chiaranon Chan

  • Family Nurse Practitioner
  • Oceanside, CA
National Provider Identifier
1841027208
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030507 Issued in CA
Practice address
115 N El Camino Real Ste a
Oceanside, CA 92058-1844
Phone
(760) 330-5055
Fax
(760) 542-2026
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030507 CA Primary

Addresses

Primary practice location

115 N El Camino Real Ste a
Oceanside, CA 92058-1844

Mailing address

115 N El Camino Real Ste a
Oceanside, CA 92058-1844
Phone (760) 330-5055

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241126003032 CA Practitioner - Nurse Practitioner 6507391687 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aescalapius Medici IncGroup PAC ID 9436554664, 2 clinicians
Minuteclinic Diagnostic Medical Group of San Diego IncGroup PAC ID 2567520414, 40 clinicians

Practice addresses (Care Compare)

115 N El Camino Real
Suite a
Oceanside, CA 92058-1844
Phone (760) 330-5055

683 Lomas Santa Fe Dr
Solana Beach, CA 92075-1412
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Nov 12, 2024 Accepting new patients
Minuteclinic Primary Care California Family CurrentSince Jul 16, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Nov 12, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Nov 12, 2024 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

8850 Valley View St
Buena Park, CA 90620
Phone (714) 827-7321

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

7096 N West Ave
Fresno, CA 93711
Phone (559) 436-0471

14330 Culver Dr
Irvine, CA 92604
Phone (949) 559-8129

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

683 Lomas Santa Fe Dr
Solana Beach, CA 92075
Phone (858) 755-6697

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

29610 Rancho California Rd
Temecula, CA 92591
Phone (951) 699-0192

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1841027208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N EL CAMINO REAL STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581844",
            "telephone_number": "760-330-5055",
            "fax_number": "760-542-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N EL CAMINO REAL STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581844",
            "telephone_number": "760-330-5055",
            "fax_number": "760-542-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "NICOLE",
        "middle_name": "CHIARANON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.