DR. JONATHAN CHAN D.O.
NPI 1104016294
Family Medicine in San Diego, CA
About Dr. Jonathan Chan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN CHAN D.O. (NPI 1104016294) is an individual family medicine provider in San Diego, California, licensed in California (20A9376) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2004).
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 and accepts Medicare assignment
Dr. Jonathan Chan D.o. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92121 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
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 Jonathan Chan's NPI number?
The NPI number for Jonathan Chan is 1104016294. It was assigned to this individual provider in the NPPES registry on July 26, 2007.
Where is Jonathan Chan located?
Jonathan Chan practices at 9333 Genesee Ave Suite 200, San Diego, CA 92121. The listed phone number is (858) 657-8600.
What is Jonathan Chan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jonathan Chan enrolled in Medicare?
Yes. Jonathan 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 Jonathan Chan was last updated on November 22, 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.
# Dr. Jonathan Chan, D.O. · NPI 1104016294
Family Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since July 26, 2007.
## Identity
- **NPI:** 1104016294 (Entity type: Individual)
- **Enumerated:** July 26, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A9376 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9333 GENESEE AVE, SUITE 200, San Diego, CA 92121-2111
- **Phone:** (858) 657-8600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2004
## Record status
- **NPPES last updated:** November 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1104016294) · Data from the CMS NPPES public registry.