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NPI · 1194352930 · NPPES-sourced

Jacqueline S Chan DO A Medical Corporation

ActiveClinic/Center
NPI Number
1194352930
Type 2 · Organisation
Taxonomy Code
261Q00000X
Contact
(415) 785-8652
Primary practice line
Last Updated
Enumerated
Primary practice addressCA · 94901-3322
1118 Irwin StSan Rafael, CA 94901-3322
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About this NPIWhat this record shows.

NPI 1194352930 is registered to Jacqueline S Chan DO A Medical Corporation, a healthcare organisation classified as "Clinic/Center" and located at 1118 Irwin St in San Rafael, California. The organisation's authorised official is Jacqueline Chan. The organisation has been enumerated in the NPI registry since 2020.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 10041CA· Issued by CA MEDICAL LICENSE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jacqueline S Chan DO A Medical Corporation accepts. To confirm in-network status with your specific health plan, contact Jacqueline S Chan DO A Medical Corporation directly at (415) 785-8652.

Frequently asked

Yes. NPI 1194352930 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (415) 785-8652.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jacqueline S Chan DO A Medical Corporation is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261Q00000X
Last updated
Enumerated
StatusActive
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