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MR. CLARENCE MATTHEW CHAN PA-C
NPI 1457734550
Physician Assistant in Los Angeles, CA

Active since July 07, 2015PECOS Enrolled
100/100
CMS Quality Rating
2110 W SUNSET BLVD STE M, LOS ANGELES, CA 90026(833) 873-2852 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Aug 9, 2022, Nov 20, 2017 (3 updates tracked since 2017).

About Mr. Clarence Matthew Chan Pa-c NPPES

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

MR. CLARENCE MATTHEW CHAN PA-C (NPI 1457734550) is an individual physician assistant in Los Angeles, California, licensed in California (52697) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457734550
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CLARENCE MATTHEW CHANCredential: PA-C
Location Address2110 W SUNSET BLVD STE MLos Angeles, CA 90026-7318
Mailing Address2110 W Sunset Blvd Ste MLos Angeles, CA 90026-7318
Phone(833) 873-2852
Sole ProprietorYes
Enumeration DateJuly 7, 2015
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1457734550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 52697
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2110 W SUNSET BLVD STE M, Los Angeles, CA 90026
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clarence Matthew Chan Pa-c 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
61 services61 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.42
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONAH AGRA
Physician Assistant
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 90026
Los Angeles County (833) 873-2852
PAULA DRIVAS RPAC
Physician Assistant
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 90026
Los Angeles County (213) 510-8640
CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Clinic/Center (Multi-Specialty)
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 90026
Los Angeles County (510) 686-3621
TREAT MEDICAL INC
Clinic/Center (Urgent Care)
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 90026
Los Angeles County (833) 873-2852

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 Clarence Chan's NPI number?

The NPI number for Clarence Chan is 1457734550. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Clarence Chan located?

Clarence Chan practices at 2110 W Sunset Blvd Ste M, Los Angeles, CA 90026. The listed phone number is (833) 873-2852.

What is Clarence Chan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Clarence Chan enrolled in Medicare?

Yes. Clarence Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clarence Chan was last updated on May 7, 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.