Mickey De Guzman Chan, DMSC, MHSC, PA-C

Physician Assistant · Turlock, CA

Individual Active NPI

NPI number 1700626652

Practice location

1801 Colorado Ave Ste 160
Turlock, CA 95382-2709
Phone
(209) 226-4299

Open in Google Maps

NPI record

NPI
1700626652
Entity type
Individual (Type 1)
Enumeration date
May 29, 2024
Last updated
May 16, 2025
Certified
May 16, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA65304 CA
Medical Physician Assistant 363AM0700X PA65304 CA
Surgical Physician Assistant 363AS0400X PA65304 CA

About Mickey Chan

Mickey De Guzman Chan, DMSC, MHSC, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1801 Colorado Ave Ste 160, Turlock, CA 95382-2709. The NPI number 1700626652 was assigned on May 29, 2024 and the record was last updated on May 16, 2025.

Mickey Chan lists 3 licenses in the registry: #PA65304 (CA) for Physician Assistant; #PA65304 (CA) for Medical Physician Assistant; #PA65304 (CA) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mickey De Guzman Chan, DMSC, MHSC, PA-C?

The NPI number is 1700626652.

What is the phone number of Mickey Chan?

The phone number listed for the practice location is (209) 226-4299.

Where is Mickey Chan located?

1801 Colorado Ave Ste 160, Turlock, CA 95382-2709.

What is the taxonomy code for Mickey Chan?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Turlock

All Physician Assistant providers in Turlock, CA →