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DR. JOANNA CHAN M.D. NPI 1588714430


NPI Information

NPI: 1588714430
Provider Name: DR. JOANNA CHAN, M.D.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
3918 LONG BEACH BLVD.
SUITE 200
LONG BEACH, CA
ZIP 90807
Phone: (562) 997-1144
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DR. Joanna Chan, M.D. is a mohs-micrographic surgery dermatology in Long Beach, CA with 18 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Joanna Chan, M.D. NPI is 1588714430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

3918 LONG BEACH BLVD.
SUITE 200
LONG BEACH, CA
ZIP 90807
Phone: (562) 997-1144
Fax: (562) 997-9881

The NPI 1588714430 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Destruction of skin growth (HCPCS:17000)
  • Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) (HCPCS:15271)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) (HCPCS:17313)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs (HCPCS:13121)

The enumeration date for this NPI number is 1/11/2007 and was last updated on 2/9/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryN1579TEXASNo
2207NS0135XDermatologyProcedural DermatologyA110959CALIFORNIANo
3207ND0101XDermatologyMOHS-Micrographic SurgeryA110959CALIFORNIAYes

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: 4/28/2024

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