JACKIE T. CHAN, M.D., INC.
NPI 1396954921
Clinic/Center - Medical Specialty in Modesto, CA
NPI Status: Active since May 21, 2007
Contact Information
413 E ORANGEBURG AVE STE A
MODESTO, CA
ZIP 95350
Phone: (209) 543-8880
Fax: (209) 529-1711
- Organization
- Clinic/Center
- Medical Specialty
About JACKIE T. CHAN, M.D., INC.
This page provides the complete NPI Profile along with additional information for Jackie T. Chan, M.d., Inc., a provider established in Modesto, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1396954921 assigned on May 2007. The practitioner's primary taxonomy code is 261QM2500X with license number G077865 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Jackie Chan M.d. (President)
- NPI
- 1396954921
- Provider Name
- JACKIE T. CHAN, M.D., INC.
- Entity Type
- Organization
- Location Address
- 413 E ORANGEBURG AVE STE A MODESTO, CA 95350
- Location Phone
- (209) 543-8880
- Location Fax
- (209) 529-1711
- Mailing Address
- 4120 DALE RD STE J8 #232 MODESTO, CA 95356
- Mailing Phone
- (209) 529-4422
- Mailing Fax
- (209) 529-1711
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2007
- Last Update Date
- 08-24-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- G077865
- License State
- CA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP3300X | Ambulatory Health Care Facilities | Clinic/Center | G077865 (CA) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396954921, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 79 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MODESTO, CA 95350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396954921, enumerated as an "organization" on May 21, 2007.
The provider is located at 413 E ORANGEBURG AVE STE A MODESTO, CA 95350 and the phone number is (209) 543-8880.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
