KAM CHAN D.O.
NPI 1730304502
Family Medicine in Vacaville, CA
About Kam Chan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAM CHAN D.O. (NPI 1730304502) is an individual family medicine provider in Vacaville, California, licensed in California (20A9017) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
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 and accepts Medicare assignment
Kam Chan D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kam Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95687 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VACAVILLE, CA 95687
VACAVILLE, CA 95687
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 Kam Chan's NPI number?
The NPI number for Kam Chan is 1730304502. It was assigned to this individual provider in the NPPES registry on April 16, 2007.
Where is Kam Chan located?
Kam Chan practices at 600 Nut Tree Rd Ste 310, Vacaville, CA 95687. The listed phone number is (707) 359-1819.
What is Kam Chan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kam Chan enrolled in Medicare?
Yes. Kam 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.
Which organization bills Medicare for Kam Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kam Chan reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Kam 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 Kam Chan was last updated on December 15, 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.
# Kam Chan, D.O. · NPI 1730304502
Family Medicine physician in Vacaville, California. Individual provider, active in the CMS NPPES registry since April 16, 2007.
## Identity
- **NPI:** 1730304502 (Entity type: Individual)
- **Enumerated:** April 16, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A9017 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 NUT TREE RD STE 310, Vacaville, CA 95687-4686
- **Phone:** (707) 359-1819
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730304502) · Data from the CMS NPPES public registry.