DR. JACKIE TSZ-KIT CHAN M.D.
NPI 1801850953
Physical Medicine & Rehabilitation in Modesto, CA

NPI Status: Active since April 14, 2006

Contact Information

413 E ORANGEBURG AVE STE A
MODESTO, CA
ZIP 95350
Phone: (209) 529-4422
Fax: (209) 529-1711

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  • Individual
  • Male
  • Physical Medicine & Rehabilitation
  • PECOS Enrolled

About JACKIE CHAN

This page provides the complete NPI Profile along with additional information for Jackie Chan, a provider established in Modesto, California with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1801850953 assigned on April 2006. The practitioner's primary taxonomy code is 208100000X with license number G077865 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1801850953
Provider Name
DR. JACKIE TSZ-KIT CHAN M.D.
Gender
Male
Entity Type
Individual
Location Address
413 E ORANGEBURG AVE STE A MODESTO, CA 95350
Location Phone
(209) 529-4422
Location Fax
(209) 529-1711
Mailing Address
4120 DALE RD STE J-8 #232 MODESTO, CA 95356
Mailing Phone
(209) 529-4422
Mailing Fax
(209) 529-1711
Is Sole Proprietor?
No
Enumeration Date
04-14-2006
Last Update Date
08-24-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
G077865
License State
CA
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171100000XOther Service Providers

Acupuncturist

G077865 (CA)
2204C00000XAllopathic & Osteopathic Physicians

Neuromusculoskeletal Medicine, Sports Medicine

G077865 (CA)
32081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

G077865 (CA)
4208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

G077865 (CA)

Medicare Participation & PECOS Enrollment Status

Jackie Chan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801850953, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 6 + 5 + 0 + 9 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1801850953.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
413 E ORANGEBURG AVE STE A
MODESTO, CA 95350
Clinic/Center (Medical Specialty)
413 E ORANGEBURG AVE STE A
MODESTO, CA 95350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801850953, enumerated as an "individual" on April 14, 2006.

The provider is located at 413 E ORANGEBURG AVE STE A MODESTO, CA 95350 and the phone number is (209) 529-4422.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.