IAN CHAN MD
NPI 1336235811
Internal Medicine - Cardiovascular Disease in Jackson, CA
About Ian Chan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IAN CHAN MD (NPI 1336235811) is an individual cardiovascular disease provider in Jackson, California, licensed in California (G88682) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mather, and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Ian Chan Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95642 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, CA 95642
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 Ian Chan's NPI number?
The NPI number for Ian Chan is 1336235811. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Ian Chan located?
Ian Chan practices at 100 Mission Blvd Ste 2200, Jackson, CA 95642. The listed phone number is (209) 223-5445.
What is Ian Chan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Ian Chan enrolled in Medicare?
Yes. Ian 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.
When was this NPI record last updated?
The NPPES record for Ian Chan was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ian Chan, MD · NPI 1336235811
Cardiovascular Disease physician in Jackson, California. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1336235811 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** G88682 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MISSION BLVD STE 2200, Jackson, CA 95642-2536
- **Phone:** (209) 223-5445
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** September 23, 2026
- **Other identifiers:** Medicaid 001296384 (PA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1336235811) · Data from the CMS NPPES public registry.