MRS. MADONNA CHAN PA-C
NPI 1710038815
Physician Assistant - Medical in Harbor City, CA
About Mrs. Madonna Chan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MADONNA CHAN PA-C (NPI 1710038815) is an individual medical provider in Harbor City, California, licensed in California (PA16004) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mrs. Madonna Chan 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.
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.
HARBOR CITY, CA 90710
HARBOR CITY, CA 90710
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 Madonna Chan's NPI number?
The NPI number for Madonna Chan is 1710038815. It was assigned to this individual provider in the NPPES registry on January 15, 2007. The provider is also known as Mrs. Madonna Mangune Chan Pa-C.
Where is Madonna Chan located?
Madonna Chan practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.
What is Madonna Chan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Madonna Chan enrolled in Medicare?
Yes. Madonna 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 Madonna Chan was last updated on December 22, 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.
# Mrs. Madonna Chan, PA-C · NPI 1710038815
Medical physician in Harbor City, California. Individual provider, active in the CMS NPPES registry since January 15, 2007.
## Identity
- **NPI:** 1710038815 (Entity type: Individual)
- **Enumerated:** January 15, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA16004 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25825 VERMONT AVE, Harbor City, CA 90710-3518
- **Phone:** (310) 325-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1710038815) · Data from the CMS NPPES public registry.