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RYAN ANDREW CHAN MD
NPI 1891323648
Student in an Organized Health Care Education/Training Program in San Marino, CA

Active since March 28, 2020PECOS Enrolled
2270 ROANOKE RD, SAN MARINO, CA 91108(626) 399-7286 Get Directions Write a Review

NPPES record last updated: March 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Andrew Chan Md NPPES

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

RYAN ANDREW CHAN MD (NPI 1891323648) is an individual student in an organized health care education/training program in San Marino, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891323648
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN ANDREW CHANCredential: MD
Location Address2270 ROANOKE RDSan Marino, CA 91108-2633
Mailing Address2270 Roanoke RdSan Marino, CA 91108-2633 · (626) 399-7286
Phone(626) 399-7286
Sole ProprietorNo
Enumeration DateMarch 28, 2020
NPPES CertifiedMarch 28, 2020
✔ NPI 1891323648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2270 ROANOKE RD, San Marino, CA 91108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Andrew Chan Md 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.

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 Ryan Chan's NPI number?

The NPI number for Ryan Chan is 1891323648. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Ryan Chan located?

Ryan Chan practices at 2270 Roanoke Rd, San Marino, CA 91108. The listed phone number is (626) 399-7286.

What is Ryan Chan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Chan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Chan was last updated on March 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.