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

Individual provider Emergency Medicine Physician · NPI 1043576531

Phillip Michael Chan, MD is an Emergency Medicine in Modesto, California. Graduated from Jefferson Medical College of Thomas Jefferson University in 2012, 14 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NY
In the registry since
2012
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

1441 Florida Ave Emergency Dept
Modesto, CA 95350-4404
Phone: (650) 388-6383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 276775 (NY)

Record details

NPI number1043576531
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESMarch 6, 2015
Mailing address1441 Florida Ave, Emergency Department, Modesto, CA 95350-4404

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2012 (14 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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