DR. TINA L CHAN (AU.D.) – Audiologist, NPI 1639547490
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
600 QUALIFIED AUDIOLOGIST in CA
Provider Addresses for DR. TINA L CHAN (AU.D.)
451 E AVENIDA DE LOS ARBOLES
SUITE B
THOUSAND OAKS, CA 913607607
Phone: (805) 494-4469
Type: Location
16030 Ventura Blvd Ste 610
Encino, CA 914362751
Phone: (818) 789-0463
Type: Location
451 E Avenida De Los Arboles
Suite B
Thousand Oaks, CA 913607607
Phone: (805) 494-4469
Type: Location
5882 BOLSA AVE
SUITE 130
HUNTINGTON BEACH, CA 926495702
Phone: (714) 898-5732
Fax: (714) 901-4058
Type: Mailing
19520 NORDHOFF ST STE 5
NORTHRIDGE, CA 913242451
Phone: (818) 734-9124
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-03-21
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 |
|---|---|---|---|---|
| I20160321000777 | I | Qualified Audiologist | 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 |
|---|---|---|---|---|
| 92550 | Test for eardrum and muscle function | 55 | 54 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 53 | 52 | $0 |
Insurance plans in this area (ZIP 91360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | CA | |
| - | CA | |
| Qualified Audiologist | CA | |
| Qualified Audiologist | CA | |
| Qualified Audiologist | CA | |
| Qualified Audiologist | CA | |
| Qualified Audiologist | CA | |
| - | CA | |
| Qualified Audiologist | CA | |
| Qualified Audiologist | CA |
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