Jonathan R Chan, MD
Family Medicine in Whittier, CA. Individual provider (NPI-1).
NPI number1043831985
StatusActive
Last updated in NPPESSep 8, 2024
Details
- NPI
- 1043831985
- Entity type
- Individual (NPI-1)
- Name
- Jonathan R Chan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2020
- Certification date
- Sep 8, 2024
- Last updated
- Sep 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A185515 | CA | Yes |
Practice location
12470 Whittier BlvdWhittier, CA 90602-1017
Phone 833-574-2273
Mailing address
37 W Winnie WayArcadia, CA 91007-8048
Phone 626-348-9191
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