JENNIFER NGUYEN CHAN D.O.
NPI 1821433830
Family Medicine in Garden Grove, CA
About Jennifer Nguyen Chan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER NGUYEN CHAN D.O. (NPI 1821433830) is an individual family medicine provider in Garden Grove, California, licensed in California (20A13890) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jennifer Nguyen 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 Jennifer Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fullerton, CA 92833
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 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 92840 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GARDEN GROVE, CA 92840
GARDEN GROVE, CA 92840
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 Jennifer Chan's NPI number?
The NPI number for Jennifer Chan is 1821433830. It was assigned to this individual provider in the NPPES registry on May 3, 2013. The provider is also known as Jennifer D Nguyen D.O..
Where is Jennifer Chan located?
Jennifer Chan practices at 12100 Euclid St, Garden Grove, CA 92840. The listed phone number is (714) 741-3615.
What is Jennifer Chan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jennifer Chan enrolled in Medicare?
Yes. Jennifer 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 Jennifer Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Chan reassigns Medicare benefits to Southern California Permanente Medical Group (Fullerton, 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 Jennifer 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 Jennifer Chan was last updated on December 1, 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.
# Jennifer Nguyen Chan, D.O. · NPI 1821433830
Family Medicine physician in Garden Grove, California. Individual provider, active in the CMS NPPES registry since May 3, 2013.
## Identity
- **NPI:** 1821433830 (Entity type: Individual)
- **Enumerated:** May 3, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A13890 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12100 EUCLID ST, Garden Grove, CA 92840-3304
- **Phone:** (714) 741-3615
## 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:** Southern California Permanente Medical Group (NPI 1336556059, Fullerton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1821433830) · Data from the CMS NPPES public registry.