SAN WAN M.D.
NPI 1295707123
Dermatology in Braintree, MA
About San Wan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN WAN M.D. (NPI 1295707123) is an individual dermatology provider in Braintree, Massachusetts, licensed in Massachusetts (46315) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Wan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02184 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.
BRAINTREE, MA 02184
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 San Wan's NPI number?
The NPI number for San Wan is 1295707123. It was assigned to this individual provider in the NPPES registry on February 4, 2006.
Where is San Wan located?
San Wan practices at 340 Wood Rd, Braintree, MA 02184. The listed phone number is (781) 849-1111.
What is San Wan's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is San Wan enrolled in Medicare?
Yes. San Wan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for San Wan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.