MR. CLEMENT CHAN (PA) – Medical Physician Assistant, NPI 1063601904
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for MR. CLEMENT CHAN (PA)
220, 1st Street, Alhambra, Los Angeles County, California, 91801, United States
ALHAMBRA, CA 918013700
Phone: (626) 281-8663
Fax: (626) 281-6318
Type: Mailing
PO BOX 80011
CITY OF INDUSTRY, CA 917168011
Phone: (626) 793-2885
Fax: (626) 793-6262
Type: Mailing
220 S 1ST ST STE 101
ALHAMBRA, CA 918013705
Phone: (626) 793-2885
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $589.
Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($145).
Total Amount
$589
General + Research + Ownership
Payments
20
Total payment records
General Amount
$589
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100223000813 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 91801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | CA | |
| Nurse Practitioner | CA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Peripheral Vascular Disease | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Advanced Heart Failure And Transplant Cardiology | CA |
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