JENNIFER CHAN MD
NPI 1992756670
Dermatology in Mountain View, CA
About Jennifer Chan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER CHAN MD (NPI 1992756670) is an individual dermatology provider in Mountain View, California, licensed in California (A63096) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 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 94040 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.
MOUNTAIN VIEW, CA 94040
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 1992756670. It was assigned to this individual provider in the NPPES registry on May 15, 2006.
Where is Jennifer Chan located?
Jennifer Chan practices at 701 E El Camino Real, Mountain View, CA 94040. The listed phone number is (650) 934-7676.
What is Jennifer Chan's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jennifer Chan enrolled in Medicare?
Yes. Jennifer Chan is registered in the Medicare PECOS enrollment system.
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 Sutter Bay Medical Foundation (Palo Alto, 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 November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.