DR. ELTON CHAN M.D.
NPI 1972956290
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 21, 2016PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, LOS ANGELES, CA 90033(323) 409-5555 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2021, Oct 31, 2017 (2 updates tracked since 2017).

About Dr. Elton Chan M.d. NPPES

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

DR. ELTON CHAN M.D. (NPI 1972956290) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2016).

NPPES Registry Identity

NPI1972956290
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ELTON CHANCredential: M.D.
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address1200 N State StLos Angeles, CA 90033-1029
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2016
Enumeration DateJuly 21, 2016
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
NPI 1972956290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1200 N STATE ST, Los Angeles, CA 90033

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

Dr. Elton Chan M.d. 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 ID4981023967
PECOS Enrollment IDI20200924000296
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.

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.

Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

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 Elton Chan's NPI number?

The NPI number for Elton Chan is 1972956290. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Elton Chan located?

Elton Chan practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 409-5555.

What is Elton 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 Elton Chan enrolled in Medicare?

Yes. Elton 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 Elton Chan was last updated on December 7, 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.