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JERRY CHAN
NPI 1013796069
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since September 27, 2023
1369 E HIGHLAND AVE, SAN BERNARDINO, CA 92404(909) 571-6035 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY CHAN (NPI 1013796069) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (A020971015) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1013796069
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJERRY CHAN
Location Address1369 E HIGHLAND AVESan Bernardino, CA 92404-4640
Mailing Address1100 N D StSan Bernardino, CA 92410-3524 · (909) 381-3774
Phone(909) 571-6035
Sole ProprietorNo
Enumeration DateSeptember 27, 2023
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1013796069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A020971015
1369 E HIGHLAND AVE, San Bernardino, CA 92404
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO RUIZ
Counselor (Addiction (Substance Use Disorder))
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 571-6035
FAMILY PRACTICE MEDICAL GROUP OF SAN BERNARDINO, INC
Health Maintenance Organization
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8966
MARIA LUCY ESQUEDA
Counselor (Addiction (Substance Use Disorder))
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 506-3012
DR. RAYMOND DAVIES KRAMER M.D.
Family Medicine
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8966
ISAAC CABALLERO
Counselor (Addiction (Substance Use Disorder))
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 381-3774
KELLY LIEBEL
Counselor (Addiction (Substance Use Disorder))
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 571-6035
VARP, INC.
Substance Abuse Rehabilitation Facility
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 381-3774
BRANDON CORNEL LIGON
Counselor (Addiction (Substance Use Disorder))
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 571-6035

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 Jerry Chan's NPI number?

The NPI number for Jerry Chan is 1013796069. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Where is Jerry Chan located?

Jerry Chan practices at 1369 E Highland Ave, San Bernardino, CA 92404. The listed phone number is (909) 571-6035.

What is Jerry Chan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerry Chan was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.