Jack Fong Chan, MD
Pediatrics · Saratoga
- Medicare standing
- 2 flags on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
- California licence: Delinquent
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Chan’s office at (408) 921-3303 to ask if they take your plan before you enroll.
California Medical Board record
Licence G21437 · Delinquent
Licence status: Delinquent · since 1971 · expires 2025-07-31 · Oregon Health Sciences University School of Medicine.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1447770136
- Licence
- CA G21437California G21437: Delinquent · expires 2025-07-31
More record details
- Sole proprietor
- Yes
- Taxonomy
- Pediatrics (208000000X)
- Mailing address
- 12212 Scully Ave, Saratoga, CA, 95070
- NPI first listed
- 2017-06-22
- NPI last updated
- 2022-07-21
This is when the NPI record was last certified, not a medical board exam.