Organization Active NPI

Wai-Lam Chan MD Inc

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1982926259
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A74856 Issued in CA
Legal business name
WAI-LAM CHAN MD INC
Practice address
1431 Noriega St
San Francisco, CA 94122-4431
Phone
(415) 759-3777
Fax
(415) 759-6368
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Dr. Wai-Lam Chan, M.D.NPI 1891791877
Title
Ceo
Phone
(415) 759-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100515000124 CA Part B Supplier - Clinic/Group Practice 4183752975 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2039448Wai-Lam Chan, MD, Inc.1431 Noriega Street, San Francisco, CA 94122Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1982926259",
    "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": {
        "organization_name": "WAI-LAM CHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WAI-LAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-759-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A74856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.