Active NPI
Debbie Choi Man Chan, MPA
- Physician Assistant
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21538
- Practice address
- 1450 Treat Blvd Ste 220
Walnut Creek, CA 94597-2168 - Phone
- (925) 937-1770
- Fax
- (925) 296-9054
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21538 | CA | Primary |
Addresses
Primary practice location
1450 Treat Blvd Ste 220
Walnut Creek, CA 94597-2168
Mailing address
1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other practice location 1
365 Hawthorne Ave
#201
Oakland, CA 94609-3107
Phone (510) 273-8332
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1450 Treat Blvd
Walnut Creek, CA 94597-2168
2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21538 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| John Muir Physician Network | Current | Accepting new patients | |
| Stanford Health Care | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
1450 Treat Blvd
Ste 220
Walnut Creek, CA 94597
Phone (925) 937-1770
1450 Treat Blvd
Walnut Creek, CA 94597
Phone (925) 952-2828
Interoperability endpoints
- dchan161078@ehr.johnmuirhealth.com
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Internal Medicine Physician
- Newark, CA
- NPI 1760531198
-
dba Stanford Health Care Emeryville 5800
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
dba Stanford Health Care Specialty Pharmacy
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1891084117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD STE 220",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-937-1770",
"fax_number": "925-296-9054"
}
],
"practiceLocations": [
{
"address_1": "365 Hawthorne Ave",
"address_2": "#201",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093107",
"country_code": "US",
"telephone_number": "510-273-8332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "DEBBIE",
"middle_name": "CHOI MAN",
"name_prefix": "Ms.",
"credential": "MPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.