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

Individual provider Physician Assistant · NPI 1306874623

Rylan Chan, PAC is a Physician Assistant in Meridian, Idaho. Qualified in 2001, 25 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Idaho.

Years since qualifying
25
Licensed in
AZ, ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1623 S Wells Ave
Meridian, ID 83642-5040
Phone: (208) 489-1450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1342 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 2557 (AZ)

Record details

NPI number1306874623
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing addressPo Box 191050, Boise, ID 83719-1050

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

Other providers in Meridian