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

Andy M Chan, DO

Individual provider Internal Medicine Physician · NPI 1104480912

Andy M Chan, DO is an Internal Medicine in San Diego, California. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2020, 6 years ago. Practices with Scripps Health Inpatient Providers Medical Group Inc, a 208-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
CA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4077 Fifth Ave # MER35
San Diego, CA 92103-2105
Phone: (619) 294-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4094 4th Ave, San Diego, CA 92103-2143 — (619) 515-2545

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A20352 (CA)

Record details

NPI number1104480912
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 26, 2019
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2020 (6 years in practice)
Group practice Scripps Health Inpatient Providers Medical Group Inc — 208 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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