MS. KAILA AZZURA CHAN FNP-C
NPI 1972173458
Nurse Practitioner in Santa Rosa, CA
About Ms. Kaila Azzura Chan Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAILA AZZURA CHAN FNP-C (NPI 1972173458) is an individual nurse practitioner in Santa Rosa, California, licensed in California (95020156) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vallejo, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Kaila Azzura Chan Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95407 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
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 Kaila Chan's NPI number?
The NPI number for Kaila Chan is 1972173458. It was assigned to this individual provider in the NPPES registry on June 28, 2021.
Where is Kaila Chan located?
Kaila Chan practices at 751 Lombardi Court, Santa Rosa, CA 95407. The listed phone number is (707) 303-3600.
What is Kaila Chan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kaila Chan enrolled in Medicare?
Yes. Kaila 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 Kaila Chan was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Ms. Kaila Azzura Chan, FNP-C · NPI 1972173458
Nurse Practitioner physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1972173458 (Entity type: Individual)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95020156 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 LOMBARDI COURT, Santa Rosa, CA 95407-5454
- **Phone:** (707) 303-3600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972173458) · Data from the CMS NPPES public registry.