STACY SHIH-YIN CHAN M.D.
NPI 1013284702
Student in an Organized Health Care Education/Training Program in West Hollywood, CA
About Stacy Shih-yin Chan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY SHIH-YIN CHAN M.D. (NPI 1013284702) is an individual student in an organized health care education/training program in West Hollywood, California and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacy Shih-yin Chan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacy Chan's NPI number?
The NPI number for Stacy Chan is 1013284702. It was assigned to this individual provider in the NPPES registry on November 22, 2011.
Where is Stacy Chan located?
Stacy Chan practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-3277.
What is Stacy Chan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Stacy Chan enrolled in Medicare?
Yes. Stacy Chan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stacy Chan was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacy Shih-Yin Chan, M.D. · NPI 1013284702
Student in an Organized Health Care Education/Training Program provider in West Hollywood, California. Individual provider, active in the CMS NPPES registry since November 22, 2011.
## Identity
- **NPI:** 1013284702 (Entity type: Individual)
- **Enumerated:** November 22, 2011
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8700 BEVERLY BLVD, West Hollywood, CA 90048-1804
- **Phone:** (310) 423-3277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1013284702) · Data from the CMS NPPES public registry.