Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mc Michael Balsamo Chan, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073490108

Mc Michael Balsamo Chan, PMHNP-BC is a Nurse Practitioner in Indio, California. Qualified in 2025, 1 year ago. Licensed in California and Oregon.

Years since qualifying
1
Licensed in
CA, OR
In the registry since
2025
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

81555 Jfk Ct
Indio, CA 92201-7726
Phone: (760) 600-8093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95036615 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10049894 (OR)

Record details

NPI number1073490108
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Indio