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Dr. Mickey De Guzman Chan , DMSC, MHSC, PA-C

Physician Assistant β€’ Turlock, CA

Active NPI 1700626652 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1801 Colorado Ave Ste 160
Turlock, CA 953822709

Call 2092264299 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1801 Colorado Ave Ste 160

Turlock, CA 953822709

Telephone 2092264299
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: First Choice Physician Partners. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Duke University School Of Medicine

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Chan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Chan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Turlock and California

29 active clinicians are listed under Physician Assistant with a practice address in Turlock, CA (14,458 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Turlock

3.4% of these 29 clinicians have the CMS telehealth indicator.

41.4% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA PA65304

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES CA PA65304
Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES CA PA65304
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241114003077

Enrollment State Jurisdiction

CA

PECOS Control ID

6305370297

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

First Choice Physician Partners

825 Delbon Ave, Turlock, CA 953822016

Phone: 2096674200

First Choice Physician Partners

1541 Florida Ave, Modesto, CA 953504429

Phone: 2095773388

First Choice Physician Partners

1801 Colorado Ave, Turlock, CA 953822709

Phone: 2092163300

First Choice Physician Partners

1541 Florida Ave, Modesto, CA 953504438

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2025

Physician Assistant (license number reported to NPPES: CA PA65304)

πŸ“
Updated Practice Location May 05, 2025

Registered at 1801 COLORADO AVE STE 160, TURLOCK, CA 953822709 (Tel: 2092264299)

πŸ“
Updated Business Mailing Address May 05, 2025

Registered at 1801 COLORADO AVE STE 160, TURLOCK, CA 953822709 (Tel: 2092264299)

πŸ‘€
Provider Name / Credentials Updated May 05, 2025

Recorded as MICKEY CHAN, DMSC, MHSC, PA-C

πŸ“
Updated Practice Location March 26, 2025

Registered at 1801 COLORADO AVE STE 250, TURLOCK, CA 953822710 (Tel: 2096645070)

πŸ“
Updated Business Mailing Address March 26, 2025

Registered at 1801 COLORADO AVE STE 250, TURLOCK, CA 953822710 (Tel: 2096645070)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2025

Physician Assistant

πŸ‘€
Provider Name / Credentials Updated September 27, 2024

Recorded as MICKEY CHAN, MHSC, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2024

Physician Assistant

πŸ“
Updated Practice Location August 22, 2024

Registered at 1541 FLORIDA AVE STE 100, MODESTO, CA 953504438 (Tel: 2095773388)

πŸ“
Updated Business Mailing Address August 22, 2024

Registered at 1541 FLORIDA AVE STE 100, MODESTO, CA 953504438 (Tel: 2095773388)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2024

Physician Assistant

βœ…
NPI Profile Active May 29, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 29, 2024

Registered at 800 S DUKE ST, DURHAM, NC 277013902 (Tel: 9196813161)

πŸ“
Business Mailing Address (Initial Record) May 29, 2024

Registered at 800 S DUKE ST, DURHAM, NC 277013902 (Tel: 9196813161)

πŸ‘€
Provider Name / Credentials (Initial Record) May 29, 2024

Recorded as MICKEY CHAN, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700626652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2024
Last Update: May 16, 2025
Sole Proprietor: Yes

Other Physician Assistants in Turlock

All Physician Assistants in Turlock

Mailing Address

1801 Colorado Ave Ste 160

Turlock, CA 953822709

Phone: 2092264299

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.