SAMUEL TO-HANG CHAN M.D.
NPI 1114987526
Specialist in Carmichael, CA
About Samuel To-hang Chan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL TO-HANG CHAN M.D. (NPI 1114987526) is an individual specialist in Carmichael, California, licensed in California (A06116) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1993).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Samuel To-hang Chan M.d. 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 Samuel Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
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 Samuel Chan's NPI number?
The NPI number for Samuel Chan is 1114987526. It was assigned to this individual provider in the NPPES registry on March 28, 2006.
Where is Samuel Chan located?
Samuel Chan practices at 6620 Coyle Ave # 301, Carmichael, CA 95608. The listed phone number is (916) 961-2514.
What is Samuel Chan's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Samuel Chan enrolled in Medicare?
Yes. Samuel 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 Samuel Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Chan reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Samuel 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 Samuel Chan was last updated on December 16, 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.
# Samuel To-Hang Chan, M.D. · NPI 1114987526
Specialist provider in Carmichael, California. Individual provider, active in the CMS NPPES registry since March 28, 2006.
## Identity
- **NPI:** 1114987526 (Entity type: Individual)
- **Enumerated:** March 28, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** A06116 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6620 COYLE AVE, # 301, Carmichael, CA 95608-6333
- **Phone:** (916) 961-2514 · **Fax:** (916) 961-0297
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** R Franklin University Of Med & Sci/chicago Medical School, class of 1993
## Record status
- **NPPES last updated:** December 16, 2021
- **Other identifiers:** Medicaid 00A611160 (CA); Other 340017833 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114987526) · Data from the CMS NPPES public registry.