MR. NATHAN MCCAN PA-C
NPI 1124564158
Physician Assistant in Oakland, CA

Active since January 14, 2017PECOS EnrolledAccepts Medicare Assignment
3600 BROADWAY, 1ST FLOOR, SUITE 17, OAKLAND, CA 94611(510) 752-1155(510) 752-6674 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2021, Jan 14, 2017 (2 updates tracked since 2017).

About Mr. Nathan Mccan Pa-c NPPES

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

MR. NATHAN MCCAN PA-C (NPI 1124564158) is an individual physician assistant in Oakland, California, licensed in California (53872) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124564158
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. NATHAN MCCANCredential: PA-C
Location Address3600 BROADWAY, 1ST FLOOR, SUITE 17Oakland, CA 94611-5730
Mailing Address3600 Broadway, 1st Floor, Suite 17Oakland, CA 94611-5730
Fax(510) 752-6674
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 14, 2017
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPI 1124564158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 53872
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 53872 (CA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 53872 (CA)
3600 BROADWAY, Oakland, CA 94611

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

Mr. Nathan Mccan Pa-c 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 ID4880961978
PECOS Enrollment IDI20170519001895
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3600 BROADWAY
OAKLAND, CA 94611
Respiratory Therapist, Registered
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Physical Medicine & Rehabilitation
3600 BROADWAY
OAKLAND, CA 94611

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 Nathan Mccan's NPI number?

The NPI number for Nathan Mccan is 1124564158. It was assigned to this individual provider in the NPPES registry on January 14, 2017.

Where is Nathan Mccan located?

Nathan Mccan practices at 3600 Broadway 1st Floor, Suite 17, Oakland, CA 94611. The listed phone number is (510) 752-1155.

What is Nathan Mccan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nathan Mccan enrolled in Medicare?

Yes. Nathan Mccan 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 Nathan Mccan was last updated on December 30, 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.