RAYMOND J CHAN (DO) – Orthopaedic Surgery Physician, NPI 1780916734

RAYMOND J CHAN (DO) is a healthcare provider. based in Moreno valley, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 20A11062 (CA). The NPI Number for RAYMOND J CHAN (DO) is 1780916734

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
RAYMOND J CHAN (DO)
NPI
1780916734
Phone
(951) 486-5690
Address
26520 CACTUS AVE
Enumeration Date
2 February 2010
Last Update Date
23 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6613377000
Graduation Year
2008 (18 years ago)
PAC ID
3577727577
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20120601000474
Address ID
CA933012012BA2531XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

3,024 ORTHOPEDIC SURGERY in CA

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Provider Addresses for RAYMOND J CHAN (DO)

  • Riverside University Health System - Medical Center, 26520, Cactus Avenue, Moreno Valley, Riverside County, California, 92555, United States

    GME OFFICE -- RM. A1005

    MORENO VALLEY, CA 925553927

    Phone: (951) 486-5690

    Fax: (951) 486-5910

    Mailing address matches the actual address.

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: 2012-06-01

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
I20120601000474IOrthopedic SurgeryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92555)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What NPI should I save for RAYMOND J CHAN (DO)?
Save NPI 1780916734 if you need a stable reference for RAYMOND J CHAN (DO).
Is RAYMOND J CHAN (DO) currently active in the NPI registry?
CMS-published data lists RAYMOND J CHAN (DO) as an active registrant.
Can you summarize RAYMOND J CHAN (DO)'s specialty in plain language?
Clinically, the directory lists RAYMOND J CHAN (DO) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is RAYMOND J CHAN (DO)'s primary listing?
We display Moreno Valley, California because that is what the record indicates for RAYMOND J CHAN (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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