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

Dr. Hannah Chan, MD

Individual provider Family Medicine Physician · NPI 1093465791

Dr. Hannah Chan, MD is a Family Practice in Fontana, California. Qualified in 2021, 5 years ago. Offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
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

16465 Sierra Lakes Pkwy Ste 300
Fontana, CA 92336-1242
Phone: (909) 429-2864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A200104 (CA)

Record details

NPI number1093465791
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2022
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address16465 Sierra Lakes Pkwy Ste 300, Fontana, CA 92336-1242

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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