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MR. MICKEY DE GUZMAN CHAN DMSC, MHSC, PA-C
NPI 1700626652
Physician Assistant in Turlock, CA

Active since May 29, 2024PECOS EnrolledAccepts Medicare Assignment
1801 COLORADO AVE STE 160, TURLOCK, CA 95382(209) 226-4299 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, May 5, 2025, Mar 26, 2025 and 3 more (6 updates tracked since 2024).

About Mr. Mickey De Guzman Chan Dmsc, Mhsc, Pa-c NPPES

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

MR. MICKEY DE GUZMAN CHAN DMSC, MHSC, PA-C (NPI 1700626652) is an individual physician assistant in Turlock, California, licensed in California (PA65304) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2024).

NPPES Registry Identity

NPI1700626652
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICKEY DE GUZMAN CHANCredential: DMSC, MHSC, PA-C
Location Address1801 COLORADO AVE STE 160Turlock, CA 95382-2709
Mailing Address1801 Colorado Ave Ste 160Turlock, CA 95382-2709 · (209) 226-4299
Phone(209) 226-4299
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2024
Enumeration DateMay 29, 2024
Last NPPES UpdateMay 16, 20256 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1700626652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA65304
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA65304 (CA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA65304 (CA)
1801 COLORADO AVE STE 160, Turlock, CA 95382
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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 and accepts Medicare assignment

Mr. Mickey De Guzman Chan Dmsc, Mhsc, Pa-c 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 ID6305370297
PECOS Enrollment IDI20241114003077
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95382 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Mickey Chan's NPI number?

The NPI number for Mickey Chan is 1700626652. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Mickey Chan located?

Mickey Chan practices at 1801 Colorado Ave Ste 160, Turlock, CA 95382. The listed phone number is (209) 226-4299.

What is Mickey Chan's specialty?

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

Is Mickey Chan enrolled in Medicare?

Yes. Mickey 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 Mickey Chan was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.