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

Individual provider Vascular Surgery Physician · NPI 1649611807

Carney Chan, MD is a Vascular Surgery in Thousand Oaks, California. Graduated from University of Southern California Keck School of Medicine in 2013, 13 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2220 Lynn Rd Ste 102
Thousand Oaks, CA 91360-8017
Phone: (805) 496-9727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A135731 (CA)

Record details

NPI number1649611807
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2013
Last updated in NPPESJuly 6, 2022
Certification dateAugust 31, 2020
Mailing address2220 Lynn Rd Ste 102, Thousand Oaks, CA 91360-8017

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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