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RYAN NICHOLAS CHAN PA
NPI 1093184988
Physician Assistant - Surgical in Orange, CA

Active since September 21, 2015PECOS EnrolledAccepts Medicare Assignment
1310 W STEWART DR STE 503, ORANGE, CA 92868(714) 997-2224(714) 997-1187 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 21, 2024, Jun 5, 2024, Nov 10, 2022 (3 updates tracked since 2022).

About Ryan Nicholas Chan Pa NPPES

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

RYAN NICHOLAS CHAN PA (NPI 1093184988) is an individual surgical provider in Orange, California, licensed in New York (019033) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093184988
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRYAN NICHOLAS CHANCredential: PA
Location Address1310 W STEWART DR STE 503Orange, CA 92868-3856
Mailing Address4044 Spring LnCorona, CA 92883-3698 · (949) 351-4006
Phone(714) 997-2224
Fax(714) 997-1187
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 21, 2015
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1093184988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 019033
1310 W STEWART DR STE 503, Orange, CA 92868
Open in Google Maps ↗

Other Identifiers 2

Other1128223Nccpa
Other57966CA · Physician Assistant

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Nicholas Chan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901107291
PECOS Enrollment IDI20210817003097
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

EUGENE JOHN WON MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1310 W STEWART DR STE 503
ORANGE, CA 92868
Orange County (714) 997-2224
SOHAIL SAREH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1310 W STEWART DR STE 503
ORANGE, CA 92868
Orange County (714) 997-2224

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 Ryan Chan's NPI number?

The NPI number for Ryan Chan is 1093184988. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Ryan Chan located?

Ryan Chan practices at 1310 W Stewart Dr Ste 503, Orange, CA 92868. The listed phone number is (714) 997-2224.

What is Ryan Chan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ryan Chan enrolled in Medicare?

Yes. Ryan Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Chan was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.