Michael Chan (NPI# 1285929067, PAC ID# 2567682636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1285929067 |
| PAC ID by PECOS | 2567682636 |
| Professional Enrollment ID | I20141013002376 |
| Full Name | Michael Chan |
| Organization Legal Name | FULLERTON RADIOLOGY MEDICAL GROUP, INC |
| Address |
5528 E La Palma Ave Suite 4 A Anaheim CA 92807-2115 |
| Phone Number | 7149700200 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587632575 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050589 | PLACENTIA LINDA HOSPITAL |
| 050329 | CORONA REGIONAL MEDICAL CENTER |
| 050758 | MONTCLAIR HOSPITAL MEDICAL CENTER |
| 050586 | CHINO VALLEY MEDICAL CENTER |
| 050168 | ST JUDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 | 7149700200 | FULLERTON RADIOLOGY MEDICAL GROUP, INC |
| Organization Legal Name | FULLERTON RADIOLOGY MEDICAL GROUP, INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tan Ba Nguyen | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| John C Kirby | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Bruce Omiya | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Sam Zeim | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Kevin Thien Toan Bui | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Mohammad Mahdi Kassir | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Senthil Sivakumar Gunasekaran | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Thomas H Lee | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Russell B Keating | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Street Address |
5528 E LA PALMA AVE SUITE 4 A |
| City | ANAHEIM |
| State | CA |
| Zip | 92807-2115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tan Ba Nguyen | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Sam Zeim | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Kevin Thien Toan Bui | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Senthil Sivakumar Gunasekaran | Diagnostic Radiology | Fullerton Radiology Medical Group, Inc | 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan A Cowell | Chiropractic | 4455 E La Palma Ave, Anaheim, CA 92807-1803 | |
| Benedicte Gonzalez | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| Patrick D Yoshinaga | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| Katherine Zhang | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| Judy Tong | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| Catherine Heyman | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| David Sendrowski | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| Robert M Yacoub | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| John H Lee | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| Ashley Elizabeth Nickell | Optometry | Marshall B Ketchum University | 5460 E La Palma Ave, Anaheim, CA 92807-2023 |
| Find all physicians in zip 92807 | |||
| City | ANAHEIM |
| Zip Code | 92807 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ANAHEIM + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael Chan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.