Individual provider Active NPI

Wai-Lam Chan, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1891791877
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A74856 Issued in CA
Practice address
1431 Noriega St
San Francisco, CA 94122-4431
Phone
(415) 759-3777
Fax
(415) 759-6368
NPI assigned
Jun 23, 2005
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A74856 CA Primary

Addresses

Primary practice location

1431 Noriega St
San Francisco, CA 94122-4431

Mailing address

1431 Noriega St
San Francisco, CA 94122-4431
Phone (415) 759-3777

Other identifiers 1

IdentifierTypeStateIssuer
0159135MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000560 CA Practitioner - Family Practice 3274662200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1431 Noriega St
San Francisco, CA 94122-4431
Phone (415) 759-3777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A74856CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wai-Lam Chan MD Inc Family Medicine CurrentSince Feb 17, 2010 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations

1431 Noriega St
San Francisco, CA 94122
Phone (415) 759-3777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wailamchanmd@66176123666436.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1891791877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224431",
            "telephone_number": "415-759-3777",
            "fax_number": "415-759-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224431",
            "telephone_number": "415-759-3777",
            "fax_number": "415-759-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "WAI-LAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A74856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159135",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.