DR. JACK FONG CHAN JR. MD
NPI 1447770136
Pediatrics in Saratoga, CA

Q: What is Jack Chan's NPI number?

The NPI number for Jack Chan is 1447770136. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Q: What is Jack Chan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Chan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 22, 2017

12212 SCULLY AVE, SARATOGA, CA 95070(408) 921-3303 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 22, 2017 (2 updates tracked since 2017).

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About Dr. Jack Fong Chan Jr. Md NPPES

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

DR. JACK FONG CHAN JR. MD (NPI 1447770136) is an individual pediatrics provider in Saratoga, California, licensed in California (G21437) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1447770136

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JACK FONG CHAN JR.Credential: MD

Location Address12212 SCULLY AVESaratoga, CA 95070-3339

Mailing Address12212 Scully AveSaratoga, CA 95070-3339 · (408) 921-3303

Phone(408) 921-3303

Sole ProprietorYes

Enumeration DateJune 22, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1447770136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G21437

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12212 SCULLY AVE, Saratoga, CA 95070

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jack Chan's NPI number?

The NPI number for Jack Chan is 1447770136. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Jack Chan located?

Jack Chan practices at 12212 Scully Ave, Saratoga, CA 95070. The listed phone number is (408) 921-3303.

What is Jack Chan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jack Chan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.