Jackie T Chan (NPI# 1801850953, PAC ID# 9133227572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
Nation Provider ID (NPI) | 1801850953 |
PAC ID by PECOS | 9133227572 |
Professional Enrollment ID | I20070607000452 |
Full Name | Jackie T Chan |
Address |
809 Sylvan Ave Suite 400 Modesto CA 95350-1500 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
Graduation Year | 1992 |
Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
809 Sylvan Ave, Suite 400, Modesto, CA 95350-1500 |
Street Address |
809 SYLVAN AVE SUITE 400 |
City | MODESTO |
State | CA |
Zip | 95350-1500 |
Name | Specialty | Organization | Address |
---|---|---|---|
Keith D Kajioka | Optometry | 809 Sylvan Ave, Suite 103, Modesto, CA 95350-1500 | |
Eleuterio A Go | Psychiatry | 809 Sylvan Ave, 500 A, Modesto, CA 95350-1500 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
Find all physicians in zip 95350 |
City | MODESTO |
Zip Code | 95350 |
Specialty | PHYSICAL MEDICINE AND REHABILITATION |
City + Specialty | MODESTO + PHYSICAL MEDICINE AND REHABILITATION |
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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.