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

MS. Kaila Azzura Chan, FNP-C

Individual provider Nurse Practitioner · NPI 1972173458

MS. Kaila Azzura Chan, FNP-C is a Nurse Practitioner in Santa Rosa, California. Qualified in 2021, 5 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

751 Lombardi Ct
Santa Rosa, CA 95407-5454
Phone: (707) 303-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Hospital Dr Ste 200, Vallejo, CA 94589-2582 — (707) 427-4900

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95020156 (CA)

Record details

NPI number1972173458
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Santa Rosa