DORIS CHAN
NPI 1447836093
Student in an Organized Health Care Education/Training Program in Fountain Valley, CA

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(657) 241-3601 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2024, Jun 28, 2021, Mar 29, 2021 (3 updates tracked since 2021).

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 and is a graduate of University Of Nevada School Of Medicine (2021).

NPPES Registry Identity

NPI1447836093
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDORIS CHAN
Location Address17360 BROOKHURST STFountain Valley, CA 92708-3720
Mailing Address17360 Brookhurst StFountain Valley, CA 92708-3720 · (657) 241-3601
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateOctober 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1447836093 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.
17360 BROOKHURST ST, Fountain Valley, CA 92708

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

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.

PECOS PAC ID8921485749
PECOS Enrollment IDI20240807003235
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.

Hospitalist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Pharmacist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Dietitian, Registered
17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Pediatrics
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Family)
17360 BROOKHURST ST
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.

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 22 months 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.