MC MICHAEL BALSAMO CHAN PMHNP-BC
NPI 1073490108
Nurse Practitioner - Psychiatric/Mental Health in Indio, CA
About Mc Michael Balsamo Chan Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MC MICHAEL BALSAMO CHAN PMHNP-BC (NPI 1073490108) is an individual psychiatric/mental health provider in Indio, California, licensed in California (95036615) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
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)
Mc Michael Balsamo Chan Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIO, CA 92201
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 Mc Michael Chan's NPI number?
The NPI number for Mc Michael Chan is 1073490108. It was assigned to this individual provider in the NPPES registry on August 20, 2025.
Where is Mc Michael Chan located?
Mc Michael Chan practices at 81555 Jfk Ct, Indio, CA 92201. The listed phone number is (760) 600-8093.
What is Mc Michael Chan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mc Michael Chan enrolled in Medicare?
Yes. Mc Michael Chan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mc Michael Chan was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Mc Michael Balsamo Chan, PMHNP-BC · NPI 1073490108
Psychiatric/Mental Health physician in Indio, California. Individual provider, active in the CMS NPPES registry since August 20, 2025.
## Identity
- **NPI:** 1073490108 (Entity type: Individual)
- **Enumerated:** August 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95036615 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 81555 JFK CT, Indio, CA 92201-7726
- **Phone:** (760) 600-8093
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073490108) · Data from the CMS NPPES public registry.