Andrea A Chan (NPI# 1154681906, PAC ID# 5395991863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1154681906 |
| PAC ID by PECOS | 5395991863 |
| Professional Enrollment ID | I20120816000231 |
| Full Name | Andrea A Chan |
| Organization Legal Name | MONTAGE MEDICAL GROUP |
| Address |
23845 Holman Hwy Suite 203 Monterey CA 93940-5901 |
| Phone Number | 8312419155 |
| Gender | F |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6406901941 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050145 | COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
| Address | Phone | Organization |
|---|---|---|
| 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 | 8312419155 | MONTAGE MEDICAL GROUP |
| Organization Legal Name | MONTAGE MEDICAL GROUP |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Steven Cuenca | Internal Medicine | Montage Medical Group | 275 The Crossroads Blvd, Suite A, Carmel, CA 93923-8685 |
| Peter Michas-martin | Neurology | Montage Medical Group | 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 |
| Eugene Y Lee | Psychiatry | Montage Medical Group | 2930 2nd Ave, Suite 200, Marina, CA 93933-6244 |
| Sonia Marie Troxell | Physician Assistant | Montage Medical Group | 30 Garden Ct, B, Monterey, CA 93940-5302 |
| Nicholas Raubitschek | Family Medicine | Montage Medical Group | 2 Upper Ragsdale Dr, Bldg A, Monterey, CA 93940-5736 |
| Sherwin Garo Dela Cruz | Cardiovascular Disease (cardiology) | Montage Medical Group | 30 Garden Ct, B, Monterey, CA 93940-5302 |
| Charlyce Erin Davis | Internal Medicine | Montage Medical Group | 2 Upper Ragsdale Dr, Bldg A, Monterey, CA 93940-5736 |
| Nupur Aggarwal | Internal Medicine | Montage Medical Group | 2 Upper Ragsdale Dr, Bldg A, Monterey, CA 93940-5736 |
| Jeanne Vesey Phillips | Cardiovascular Disease (cardiology) | Montage Medical Group | 30 Garden Ct, B, Monterey, CA 93940-5302 |
| Resmi Premji | Endocrinology | Montage Medical Group | 2 Upper Ragsdale Dr, Bldg A, Monterey, CA 93940-5736 |
| Street Address |
23845 HOLMAN HWY SUITE 203 |
| City | MONTEREY |
| State | CA |
| Zip | 93940-5901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Michas-martin | Neurology | Montage Medical Group | 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 |
| Conrad Massimo Vial | Cardiac Surgery | Sutter Bay Medical Foundation | 23845 Holman Hwy, Suite 220, Monterey, CA 93940-5901 |
| Amir Ali Rahnavard | Physical Medicine and Rehabilitation | Montage Medical Group | 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 |
| Bruce Benedick | Interventional Cardiology | Sutter Bay Medical Foundation | 23845 Holman Hwy, Suite 220, Monterey, CA 93940-5901 |
| Kalen Tai Erickson-moreo | Psychologist, Clinical | Montage Medical Group | 23845 Holman Hwy, Suite 210, Monterey, CA 93940-5907 |
| Nellis Smith | Cardiovascular Disease (cardiology) | Sutter Bay Medical Foundation | 23845 Holman Hwy, Suite 220, Monterey, CA 93940-5901 |
| Nina Amelio-simulcik | Obstetrics/gynecology | Montage Medical Group | 23845 Holman Hwy, Suite 227, Monterey, CA 93940-5901 |
| Michael C Jacobson | Urology | Montage Medical Group | 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 |
| Robert H Mead | Cardiac Electrophysiology | Sutter Bay Medical Foundation | 23845 Holman Hwy, Suite 220, Monterey, CA 93940-5901 |
| Dana L Mcdermott | Neurology | Montage Medical Group | 23845 Holman Hwy, Suite 210, Monterey, CA 93940-5907 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vladimir Leibovsky | Obstetrics/gynecology | 337 Eldorado St, Suite B4, Monterey, CA 93940 | |
| Lee M Hamilton | Family Practice | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
| Hami Ebrahimi | Internal Medicine | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
| Christopher L Tinker | Physical Therapy | 786 Lighthouse Ave, Monterey, CA 93940-1010 | |
| Craig D Schmitz | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Kimberly M Micheletti | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Shelley A Kroopf | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Travis D Jurgens | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Timothy K Wilken | Family Medicine | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| James D Wells | Hospitalist | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| Find all physicians in zip 93940 | |||
| City | MONTEREY |
| Zip Code | 93940 |
| Specialty | UROLOGY |
| City + Specialty | MONTEREY + UROLOGY |
Please comment or provide details below to improve the information on Andrea A 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.