Andy Yiu Wing Chan
Individual provider Active NPI Physician Assistant · Visalia, CA
NPI 1982111985 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1982111985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA64673 (CA)
- Practice address
- 400 W Mineral King Ave
Visalia, CA 93291-6237 - Phone
- (559) 624-2000
- NPI assigned
- Dec 29, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Practice addresses (Care Compare)
1900 Sullivan Ave
Daly City, CA 94015-2200
Phone (650) 992-4000
Hospital & facility affiliations
- Kaweah Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260612002892 | CA | Practitioner - Physician Assistant | 0749752509 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA64673 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caminar | Past | Accepting new patients |
Interoperability endpoints
- andy.chan.1@14789.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA64673 | CA | Yes |
Addresses
Primary practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
Mailing address
78 Westline Dr
Daly City, CA 94015-4735
Other providers in Visalia, CA
- Jasmeen Kaur Chahil
- Kristina Chamberlin
- Heather Chambers-Plett
- Lazarus Earl Chambers
- Champions Recovery Alternative Programs, Inc.
- Brian Rebenque Chan
- Jessica Michelle Chan
- Chandler Dental Group
- Steven Curtis Chandler
- Allen Patrick Chang
All providers in Visalia, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.