NINA CHAN, M.D., INC
NPI 1548778913
Family Medicine in Upland, CA
About Nina Chan, M.d., Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINA CHAN, M.D., INC (NPI 1548778913) is a healthcare organization registered as a family medicine in Upland, California and active in the NPI registry since January 2018. The organization lists Nina Chan, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nina Chan, M.d., Inc 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 Nina Chan, M.D., Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Nina Chan, M.D., Inc's NPI number?
The NPI number for Nina Chan, M.D., Inc is 1548778913. It was assigned to this organization in the NPPES registry on January 18, 2018.
Where is Nina Chan, M.D., Inc located?
Nina Chan, M.D., Inc is located at 980 E Foothill Blvd Ste 104, Upland, CA 91786. The listed phone number is (909) 920-3578.
What is Nina Chan, M.D., Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nina Chan, M.D., Inc enrolled in Medicare?
Yes. Nina Chan, M.D., Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nina Chan, M.D., Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Nina Chan, M.D., Inc. 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 Nina Chan, M.D., Inc was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.
# Nina Chan, M.d., Inc · NPI 1548778913
Family Medicine organization in Upland, California. Organization record, active in the CMS NPPES registry since January 18, 2018.
## Identity
- **NPI:** 1548778913 (Entity type: Organization)
- **Enumerated:** January 18, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Nina Chan, PHYSICIAN
## Practice location
- **Address:** 980 E FOOTHILL BLVD STE 104, Upland, CA 91786-4068
- **Phone:** (909) 920-3578
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1548778913) · Data from the CMS NPPES public registry.