1. Home
  2. Directory
  3. California
  4. Upland
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NINA CHAN M.D.
NPI 1205195021
Family Medicine in Upland, CA

Active since May 14, 2012PECOS Enrolled
980 E FOOTHILL BLVD STE 104, UPLAND, CA 91786(909) 920-3578 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Aug 12, 2025 (2 updates tracked since 2025).

About Dr. Nina Chan M.d. NPPES

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

DR. NINA CHAN M.D. (NPI 1205195021) is an individual family medicine provider in Upland, California, licensed in California (127505) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205195021
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NINA CHANCredential: M.D.
Location Address980 E FOOTHILL BLVD STE 104Upland, CA 91786-4068
Mailing Address980 E Foothill Blvd Ste 104Upland, CA 91786-4068
Phone(909) 920-3578
Sole ProprietorNo
Enumeration DateMay 14, 2012
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1205195021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 127505
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
980 E FOOTHILL BLVD STE 104, Upland, CA 91786
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nina Chan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nina Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nina Chan, M.D., Inc
Same address
Family Medicine
980 E FOOTHILL BLVD STE 104
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Nina Chan MD Inc
NPI 1548778913 (909) 920-3578

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
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 2

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

NINA CHAN, M.D., INC
Family Medicine
980 E FOOTHILL BLVD STE 104
UPLAND, CA 91786
San Bernardino County (909) 920-3578
DR. DOUGLAS WILLIAM JOHNSON DDS
Dentist (General Practice)
980 E FOOTHILL BLVD STE 104
UPLAND, CA 91786
San Bernardino County (909) 981-3341

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 Nina Chan's NPI number?

The NPI number for Nina Chan is 1205195021. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Nina Chan located?

Nina Chan practices at 980 E Foothill Blvd Ste 104, Upland, CA 91786. The listed phone number is (909) 920-3578.

What is Nina Chan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nina Chan enrolled in Medicare?

Yes. Nina Chan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nina Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Chan reassigns Medicare benefits to Nina Chan, M.D., Inc (Upland, 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 Nina 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 Nina Chan was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.