MARILYNN CHAN M.D.
NPI 1710273701
Pediatrics - Pediatric Pulmonology in San Diego, CA

Active since June 28, 2011PECOS Enrolled
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-5841 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 12, 2017 (3 updates tracked since 2017).

About Marilynn Chan M.d. NPPES

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

MARILYNN CHAN M.D. (NPI 1710273701) is an individual pediatric pulmonology provider in San Diego, California, licensed in California (A123085) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1710273701
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameMARILYNN CHANCredential: M.D.
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5064San Diego, CA 92123-4223 · (858) 966-5841
Sole ProprietorNo
Enumeration DateJune 28, 2011
Last NPPES UpdateOctober 15, 20243 updates tracked since enumeration
✔ NPI 1710273701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in CA · A123085
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatricsTaxonomy 208000000X · License A123085 (CA)
3020 CHILDRENS WAY, San Diego, CA 92123

Secondary Practice Location 1

Location 1400 Parnassus AveSan Francisco, CA 94143-2202 · Phone (415) 476-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marilynn Chan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Marilynn Chan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 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.

Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123

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 Marilynn Chan's NPI number?

The NPI number for Marilynn Chan is 1710273701. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Marilynn Chan located?

Marilynn Chan practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5841.

What is Marilynn Chan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Marilynn Chan enrolled in Medicare?

Yes. Marilynn Chan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marilynn Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marilynn Chan reassigns Medicare benefits to 4 organizations: Southern California Permanente Medical Group (San Diego, CA), Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each 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 Marilynn 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 Marilynn Chan was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.