| Dr Samuel Chan, MD | |
|
155 Glasson Way, Grass Valley, CA 95945-5723 | |
| (530) 274-6000 | |
| Not Available |
| Full Name | Dr Samuel Chan |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 155 Glasson Way, Grass Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043286974 | NPI | - | NPPES |
| 00A779160 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A77916 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Premier Anesthesia Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 |
| Entity Name | Anesthesia Services Of San Joaquin Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
| Entity Name | Cep America - Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Chan, MD 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (800) 883-7243 | Dr Samuel Chan, MD 155 Glasson Way, Grass Valley, CA 95945-5723 Ph: (530) 274-6000 |
Dr. Alan Phillip Cary, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 408 Sierra College Drive, Grass Valley, CA 95945 Phone: 530-271-2282 | |
Dr. David Joseph Lloyd, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 408 Sierra College Drive, Grass Valley, CA 95945 Phone: 800-883-7243 | |
Dr. Cody Reeves, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 155 Glasson Way, Grass Valley, CA 95945 Phone: 800-883-7243 | |
Dr. Ann K Engel, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 408 Sierra College Drive, Grass Valley, CA 95945 Phone: 530-271-2282 | |
Dr. Gregory J Porter, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 Sierra College Dr Ste B, Grass Valley, CA 95945 Phone: 530-272-3428 Fax: 530-272-3429 | |
Dr. Steven Russell Wilbur, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 155 Glasson Way, Grass Valley, CA 95945 Phone: 530-274-6000 |