DR. LARRY C CHAN (D.O.) – Internal Medicine Physician, NPI 1215259221

DR. LARRY C CHAN (D.O.) is a healthcare provider. based in Upland, California. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 20A13480 (CA). The NPI Number for DR. LARRY C CHAN (D.O.) is 1215259221

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY C CHAN (D.O.)
NPI
1215259221
Phone
(909) 981-8383
Address
685 N 13TH AVE STE 9
Enumeration Date
17 February 2010
Last Update Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095008683
Graduation Year
2007 (19 years ago)
PAC ID
3476775917
Group Practice PAC ID
2860908084
Professional Enrollment ID
I20141118000023
Address ID
CA917864963UP685XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:16State licenses:3Digital endpointsOther names

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

Provider Addresses for DR. LARRY C CHAN (D.O.)

  • 685 N 13TH AVE STE 9

    UPLAND, CA 917864963

    Phone: (909) 981-8383

    Fax: (909) 920-3054

    Type: Mailing

  • 685 N 13TH AVE STE 2

    UPLAND, CA 917864963

    Phone: (909) 500-8683

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 188 Open Payments records for all available years, with a total value of $10,193.

Total Amount is formed as General ($10,193) + Research ($0) + Ownership ($0) = $10,193.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Shockwave Medical, Inc ($3,959).

Total Amount

$10,193

General + Research + Ownership

Payments

188

Total payment records

General Amount

$10,193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-11-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141118000023ICardiovascular Disease (Cardiology)CATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes664331$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function559531$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes458175$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only185158$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes159145$0
View full utilization report →

Insurance plans in this area (ZIP 91786)

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Provider's Procedures

DR. LARRY C CHAN (D.O.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies3232

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860908084View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Internal MedicineCA

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Frequently asked questions

Can I cross-check DR. LARRY C CHAN (D.O.) using NPI 1215259221?
NPI 1215259221 belongs to DR. LARRY C CHAN (D.O.); compare other details if you need extra assurance.
Is there an active status for DR. LARRY C CHAN (D.O.)?
For scheduling context, DR. LARRY C CHAN (D.O.) is shown as active in the registry.
What expertise is attributed to DR. LARRY C CHAN (D.O.)?
DR. LARRY C CHAN (D.O.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LARRY C CHAN (D.O.)?
Directory geography for DR. LARRY C CHAN (D.O.) centers on Upland, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.