FANNY CHAN MD
NPI 1669050506
Student in an Organized Health Care Education/Training Program in Woodland Hills, CA
About Fanny Chan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FANNY CHAN MD (NPI 1669050506) is an individual student in an organized health care education/training program in Woodland Hills, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fanny Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Fanny Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodland Hills, CA 91367
- 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.
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
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 Fanny Chan's NPI number?
The NPI number for Fanny Chan is 1669050506. It was assigned to this individual provider in the NPPES registry on March 31, 2021.
Where is Fanny Chan located?
Fanny Chan practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (626) 202-5324.
What is Fanny 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 Fanny Chan enrolled in Medicare?
Yes. Fanny Chan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Fanny Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fanny Chan reassigns Medicare benefits to Southern California Permanente Medical Group (Woodland Hills, CA). The 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 Fanny 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 Fanny Chan was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Fanny Chan, MD · NPI 1669050506
Student in an Organized Health Care Education/Training Program provider in Woodland Hills, California. Individual provider, active in the CMS NPPES registry since March 31, 2021.
## Identity
- **NPI:** 1669050506 (Entity type: Individual)
- **Enumerated:** March 31, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5601 DE SOTO AVE, Woodland Hills, CA 91367-6701
- **Phone:** (626) 202-5324
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333478, Woodland Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669050506) · Data from the CMS NPPES public registry.