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

Jacqueline Bayading Chan

Individual provider Family Nurse Practitioner · NPI 1770240434

Jacqueline Bayading Chan is a Nurse Practitioner in Sherman Oaks, California. Qualified in 2020, 6 years ago. Practices with Prohealth Internal Medicine Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423-5514
Phone: (818) 922-2129
Fax: (818) 922-2025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017629 (CA)

Record details

NPI number1770240434
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2021
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prohealth Internal Medicine Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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