1. Home
  2. Directory
  3. California
  4. Larkspur
  5. Family Medicine
  6. NPI Profile

MS. JACQUELINE SUSANNA CHAN D.O./OSTEOPATH
NPI 1740267715
Family Medicine in Larkspur, CA

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
1100 LARKSPUR LANDING CIRCLE #255, LARKSPUR, CA 94939(415) 945-3213(415) 329-5080 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2018, Dec 23, 2015 (2 updates tracked since 2015).

About Ms. Jacqueline Susanna Chan D.o./osteopath NPPES

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

MS. JACQUELINE SUSANNA CHAN D.O./OSTEOPATH (NPI 1740267715) is an individual family medicine provider in Larkspur, California, licensed in California (20A10041) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1740267715
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. JACQUELINE SUSANNA CHANCredential: D.O./OSTEOPATH
Location Address1100 LARKSPUR LANDING CIRCLE #255Larkspur, CA 94939
Mailing Address1100 Larkspur Landing Cir. #255Larkspur, CA 94939 · (415) 945-3213 · Fax (415) 329-5080
Phone(415) 945-3213
Fax(415) 329-5080
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1997
Enumeration DateDecember 29, 2005
Last NPPES UpdateMay 2, 20182 updates tracked since enumeration
✔ NPI 1740267715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A10041
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

Ms. Jacqueline Susanna Chan D.o./osteopath 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 ID4688896756
PECOS Enrollment IDI20200521002260
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 94939 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
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 Jacqueline Chan's NPI number?

The NPI number for Jacqueline Chan is 1740267715. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Jacqueline Chan located?

Jacqueline Chan practices at 1100 Larkspur Landing Circle #255, Larkspur, CA 94939. The listed phone number is (415) 945-3213.

What is Jacqueline Chan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacqueline Chan enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline Chan was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.