CYNTHIA W CHAN DO
NPI 1255968293
Pediatrics in Lincoln, CA
About Cynthia W Chan Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYNTHIA W CHAN DO (NPI 1255968293) is an individual pediatrics provider in Lincoln, California, licensed in California (20A20854) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cynthia W Chan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cynthia 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95648 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.
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 Cynthia Chan's NPI number?
The NPI number for Cynthia Chan is 1255968293. It was assigned to this individual provider in the NPPES registry on March 26, 2020.
Where is Cynthia Chan located?
Cynthia Chan practices at 1900 Dresden Dr, Lincoln, CA 95648. The listed phone number is (916) 543-5153.
What is Cynthia Chan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Cynthia Chan enrolled in Medicare?
Yes. Cynthia Chan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cynthia Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia 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 Cynthia 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 Cynthia Chan was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cynthia W Chan, DO · NPI 1255968293
Pediatrics physician in Lincoln, California. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1255968293 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 20A20854 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 DRESDEN DR, Lincoln, CA 95648-8803
- **Phone:** (916) 543-5153
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255968293) · Data from the CMS NPPES public registry.