Roxanne Chan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A82201 Issued in CA

Practice address

2811 Wilshire Blvd
Santa Monica, CA 90403-4803

Phone

(310) 456-7828

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, MA, TX, FL, NM5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Diagnostic Radiology

Education

New York Medical College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Imaging Center of Southern CaliforniaGroup PAC ID 2961306469, 7 clinicians

Medical Imaging Center of Southern California-Beverly Hills IncGroup PAC ID 6709133200, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Medical Imaging Center of Southern California

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1700907433
  Medicare reassignment Care Compare group NPD
• Medical Imaging Center of Southern California-Beverly Hills, Inc

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1437641727
  Medicare reassignment Care Compare group NPD
• Central Valley Community Medical Imaging

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1376637264
  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Kan-Di-Ki LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345
  Medicare reassignment NPD
• Modesto Advanced Diagnostic Imaging Medical Center

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1730133893
  Medicare reassignment NPD
• Newport Diagnostic Radiology, Inc

  • Diagnostic Radiology Physician
  • Newport Beach, CA
  • NPI 1134345473
  Medicare reassignment NPD
• Pronet Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1528099488
  Medicare reassignment NPD
• San Fernando Valley Interventional Radiology and Imaging Center

  • Vascular-Interventional Technology Radiologic Technologist
  • Encino, CA
  • NPI 1942350889
  Medicare reassignment NPD
• South Coast Radiological Medical Group Inc

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1902858384
  Medicare reassignment NPD
• Dallas County Hospital District

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1649278995

  Family Medicine

  Medicare reassignment NPD
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Phoenix, AZ
  • NPI 1083643738

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1851407787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 IRVINE AVE # 782",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604602",
            "telephone_number": "310-456-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-456-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ROXANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "152382",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A82201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A822010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margot Ellyn Chambers, L.AC.
• Anders Chan
• Chun Hin Chan, MD
• John Paul Chan, DPT
• Lisa S Chan
• Sanny K Chan, M.D., PH.D.
• Sarah Mun Yee Chan, MD
• Vivian Hoi-Yan Chan, DPT, MS
• Charles Chandler, MD
• Smitha Chandrabose, M.S.

• Diagnostic Radiology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.