KENNETH D CHAN MD INC NPI 1538207048

NPI Information

  • NPI: 1538207048
  • Provider Name: KENNETH D CHAN MD INC
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Address: 789 VALLEJO STREET
    SAN FRANCISCO, CA
    ZIP 94133
  • Phone: (415) 982-6691

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NPI Details

KENNETH D CHAN MD INC is a pulmonary disease internal medicine in San Francisco, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. KENNETH D CHAN MD INC NPI is 1538207048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

789 VALLEJO STREET
SAN FRANCISCO, CA
ZIP 94133-834
Phone: (415) 982-6691
Fax: (415) 982-0914

The provider's authorized official is Kenneth Dong Chan .
The authorized official title is President and has the following contact phone number (415) 982-6691.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 1/27/2012.

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
1207RP1001XInternal MedicinePulmonary DiseaseG42953CALIFORNIAYes

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
100G429530MEDICAIDCALIFORNIA
2A49173MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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