RYAN NICHOLAS CHAN PA NPI 1093184988

NPI Information

  • NPI: 1093184988
  • Provider Name: RYAN NICHOLAS CHAN, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1310 W STEWART DR STE 503
    ORANGE, CA
    ZIP 92868
  • Phone: (714) 997-2224

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NPI Details

Ryan Nicholas Chan, PA is a surgical physician assistant in Orange, CA with 11 years of experience. Ryan Nicholas Chan, PA NPI is 1093184988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1310 W STEWART DR STE 503
ORANGE, CA
ZIP 92868-856
Phone: (714) 997-2224
Fax: (714) 997-1187

The NPI 1093184988 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2015 and was last updated on 6/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical019033NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11128223OTHERNCCPA
257966OTHERCALIFORNIAPHYSICIAN ASSISTANT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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