KATELYN SUSAN CHAN
NPI 1396494605
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since March 22, 2022PECOS Enrolled
291 CAMPUS DR, STANFORD, CA 94305(650) 723-2300 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katelyn Susan Chan NPPES

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

KATELYN SUSAN CHAN (NPI 1396494605) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396494605
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATELYN SUSAN CHAN
Location Address291 CAMPUS DRStanford, CA 94305-5101
Mailing Address1257 Mills St Apt 6Menlo Park, CA 94025-3240 · (907) 230-4214
Sole ProprietorNo
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1396494605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

291 CAMPUS DR, Stanford, CA 94305

Other Names 1

Other Name (5)Katy Susan Chan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katelyn Susan Chan 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.

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.

Student in an Organized Health Care Education/Training Program
291 CAMPUS DR
STANFORD, CA 94305
Technician
291 CAMPUS DR
PALO ALTO, CA 94305
Student in an Organized Health Care Education/Training Program
291 CAMPUS DR
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
291 CAMPUS DR
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
291 CAMPUS DR
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
291 CAMPUS DR
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
291 CAMPUS DR
STANFORD, CA 94305
Internal Medicine (Hematology & Oncology)
291 CAMPUS DR
PALO ALTO, CA 94305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396494605, enumerated as an "individual" on March 22, 2022.

The provider is located at 291 CAMPUS DR STANFORD, CA 94305 and the phone number is (650) 723-2300.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.