Individual provider Active NPI

Lawrence Siu-Yung Chan, M.D., M.H.A.

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1912916263
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G70528 Issued in CA
Practice address
3301 C St Ste 1400
Sacramento, CA 95816-3367
Phone
(916) 551-2608
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036-085852 IL
Dermatology Physician 207N00000X MD-25652 HI
Dermatology Physician 207N00000X G70528 CA Primary

Addresses

Primary practice location

3301 C St Ste 1400
Sacramento, CA 95816-3367

Mailing address

3301 C St Ste 1400
Sacramento, CA 95816-3367
Phone (916) 551-2608

Other practice location 1

1801 W Taylor St
3E
Chicago, IL 60612-4319
Phone (312) 996-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220831000943 CA Practitioner - Dermatology 5597895789 Reassigns benefits to 1 organization
I20250618002477 HI Practitioner - Dermatology 5597895789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

1285 Waianuenue Ave
Hilo, HI 96720-1209
Phone (808) 432-3000

633 Ponahawai St
Suite 102
Hilo, HI 96720-7601
Phone (808) 932-3740

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions67
Removal or shaving of skin growth1-10
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70528CAMDDermatology Physician
MD-25652HIMDDermatology Physician
036-085852ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 1, 2022 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 1, 2022 Accepting new patients
Regents of the University of California CurrentSince Oct 22, 2022 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jun 6, 2025 Accepting new patients
Kau Hospital CurrentSince Dec 9, 2025 Accepting new patients
Kau Hospital CurrentSince Dec 9, 2025 Accepting new patients
Regents of the University of California CurrentSince Oct 22, 2022 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Jun 6, 2025 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

251 Turn Pike Dr
Folsom, CA 95630
Phone (916) 985-9300

1620 E Roseville Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-0251

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

3301 C St
Ste 1400
Sacramento, CA 95816
Phone (916) 734-6111

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

633 Ponahawai St
Ste 102
Hilo, HI 96720
Phone (808) 932-3740

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1912916263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163367",
            "telephone_number": "916-551-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163367",
            "telephone_number": "916-551-2608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Taylor St",
            "address_2": "3E",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124319",
            "country_code": "US",
            "telephone_number": "312-996-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LAWRENCE",
        "middle_name": "SIU-YUNG",
        "name_prefix": "Prof.",
        "credential": "M.D., M.H.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-085852",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "MD-25652",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G70528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.