| Michael Chai MD Inc | |
|
490 N Mountain Ave Ste B Upland CA 91786-5188 | |
| (909) 920-6698 | |
| (909) 931-7192 |
| Full Name | Michael Chai MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 490 N Mountain Ave Ste B, Upland, California |
| Authorized Official Name and Position | Michael Chai (CEO) |
| Authorized Official Contact | 9099206672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Chai MD Inc 490 N Mountain Ave Upland CA 91786-5187 Ph: (909) 920-6698 | Michael Chai MD Inc 490 N Mountain Ave Ste B Upland CA 91786-5188 Ph: (909) 920-6698 |
| NPI Number | 1568572949 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/19/2026 |
| Certification Date | 09/19/2026 |
| Medicare PECOS PAC ID | 0840382818 |
|---|---|
| Medicare Enrollment ID | O20070822000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568572949 | NPI | - | NPPES |
| 00A780920 | Medicaid | CA | |
| 00G799650 | Other | MEDICAL DR CHAI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A78092 (California) | Secondary |
| 207R00000X | Internal Medicine | G079965 (California) | Primary |
| Provider Name | Michael Chai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083748727 PECOS PAC ID: 2365540408 Enrollment ID: I20070613000243 |
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