DORIS CHAN
NPI 1447836093
Student in an Organized Health Care Education/Training Program in Fountain Valley, CA
About Doris Chan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DORIS CHAN (NPI 1447836093) is an individual student in an organized health care education/training program in Fountain Valley, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of University Of Nevada School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Doris Chan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Doris Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
Fullerton, CA 92833
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FOUNTAIN VALLEY, CA 92708
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 Doris Chan's NPI number?
The NPI number for Doris Chan is 1447836093. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Doris Chan located?
Doris Chan practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (657) 241-3601.
What is Doris Chan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Doris Chan enrolled in Medicare?
Yes. Doris 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.
Which organizations bill Medicare for Doris Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Doris Chan reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Southern California Permanente Medical Group (Fullerton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Doris Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Doris Chan was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Doris Chan · NPI 1447836093
Student in an Organized Health Care Education/Training Program provider in Fountain Valley, California. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1447836093 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 17360 BROOKHURST ST, Fountain Valley, CA 92708-3720
- **Phone:** (657) 241-3601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA); Southern California Permanente Medical Group (NPI 1336556059, Fullerton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nevada School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 16, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1447836093) · Data from the CMS NPPES public registry.