Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Addison Chan

Individual provider Emergency Medicine Physician · NPI 1568791994

Addison Chan is an Emergency Medicine in Modesto, California. Qualified in 2006, 20 years ago. Practices with Northeast Texas Emergency Physicians PLLC, a 192-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Pennsylvania and Texas.

Years since qualifying
20
Licensed in
CA, PA, TX
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

1700 Coffee Rd Emergency Dept
Modesto, CA 95355-2803
Phone: (209) 526-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 — (484) 862-3232

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS022272 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence R7410 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 20A11051 (CA)

Record details

NPI number1568791994
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 14, 2009
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023
Mailing address4012 Wild Poppy Ct, Modesto, CA 95356-8793

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Northeast Texas Emergency Physicians Pllc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Modesto