RAYMOND Y CHAN MD A PROFESSIONAL CORPORATION
NPI 1467991604
Clinic/Center - Medical Specialty in San Diego, CA

Active since February 21, 2017
4619 CONVOY ST, STE G, SAN DIEGO, CA 92111(858) 627-9988 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raymond Y Chan Md A Professional Corporation NPPES

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

RAYMOND Y CHAN MD A PROFESSIONAL CORPORATION (NPI 1467991604) is a healthcare organization registered as a medical specialty in San Diego, California and active in the NPI registry since February 2017. The organization lists Raymond Y Chan, President, as its authorized official.

NPPES Registry Identity

NPI1467991604
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameRAYMOND Y CHAN MD A PROFESSIONAL CORPORATION
Location Address4619 CONVOY ST, STE GSan Diego, CA 92111-2318
Mailing Address4619 Convoy St, Ste GSan Diego, CA 92111-2318 · (858) 627-9988
Organization SubpartNo
Authorized OfficialRaymond Y ChanPresident · (858) 627-9988
Enumeration DateFebruary 21, 2017
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1467991604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · G44249
Definition
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).
4619 CONVOY ST, San Diego, CA 92111

Other Identifiers 1

Medicare UPINA49595CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raymond Y Chan Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Raymond Y Chan MD A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1730298373
4619 CONVOY ST SUITE G
San Diego, CA 92111
(858) 627-9988
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Raymond Y Chan MD A Professional Corporation's NPI number?

The NPI number for Raymond Y Chan MD A Professional Corporation is 1467991604. It was assigned to this organization in the NPPES registry on February 21, 2017.

Where is Raymond Y Chan MD A Professional Corporation located?

Raymond Y Chan MD A Professional Corporation is located at 4619 Convoy St Ste G, San Diego, CA 92111. The listed phone number is (858) 627-9988.

What is Raymond Y Chan MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Raymond Y Chan MD A Professional Corporation enrolled in Medicare?

Yes. Raymond Y Chan MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raymond Y Chan MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Raymond Y Chan MD A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Raymond Y Chan MD A Professional Corporation was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.