Sanny K Chan, MD, PHD, Inc
NPI 1457925109ActiveOrganization· Allergy & Immunology· Santa Monica, CA
Allergy & Immunology in Santa Monica, California, registered in NPPES in May 2021. The authorized official on file is Sanny K. Chan, MD, PHD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457925109 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2021 |
| Last updated in NPPES | May 17, 2021 |
| Certified by provider | May 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Allergy & Immunology Primary | 207K00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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