MS. ANDREA KWUN NING CHAN PSYD
NPI 1104375062
Psychologist in Campbell, CA
About Ms. Andrea Kwun Ning Chan Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANDREA KWUN NING CHAN PSYD (NPI 1104375062) is an individual psychologist in Campbell, California, licensed in California (30838) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fremont, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Andrea Kwun Ning Chan Psyd 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrea Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94118
- Reassigned Medicare billing, California enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrea Chan's NPI number?
The NPI number for Andrea Chan is 1104375062. It was assigned to this individual provider in the NPPES registry on October 3, 2016.
Where is Andrea Chan located?
Andrea Chan practices at 1925 S Winchester Blvd Ste 204, Campbell, CA 95008. The listed phone number is (619) 354-7400.
What is Andrea Chan's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Andrea Chan enrolled in Medicare?
Yes. Andrea 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.
Which organization bills Medicare for Andrea Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Chan reassigns Medicare benefits to Richmond Area Multi-Services, Inc. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrea Chan was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.