Dr Jack Fong Chan Jr, MD - Pediatrics in Saratoga, CA

Dr Jack Fong Chan Jr, MD is a Pediatrics physician based in Saratoga, California. Dr Jack Fong Chan Jr is licensed to practice in California (license number G21437) and his current practice location is 12212 Scully Ave, Saratoga, California. He can be reached at his office (for appointments etc.) via phone at (408) 921-3303.

NPI number for Dr Jack Fong Chan Jr is 1447770136 and his current mailing address is 12212 Scully Ave, Saratoga, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447770136.

Contact Information

Dr Jack Fong Chan Jr, MD
12212 Scully Ave,
Saratoga, CA 95070-3339
(408) 921-3303
Not Available

Map and Direction




Physician's Profile

Full NameDr Jack Fong Chan Jr
GenderMale
SpecialityPediatrics
Location12212 Scully Ave, Saratoga, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447770136
  • Provider Enumeration Date: 06/22/2017
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Dr Jack Fong Chan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447770136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G21437 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Fong Chan Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack Fong Chan Jr, MD
12212 Scully Ave,
Saratoga, CA 95070-3339

Ph: (408) 921-3303
Dr Jack Fong Chan Jr, MD
12212 Scully Ave,
Saratoga, CA 95070-3339

Ph: (408) 921-3303

Reviews and Comments


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