Jerry Chan
NPI 1013796069 · Addiction (Substance Use Disorder) Counselor · San Bernardino, CA
Jerry Chan is a Addiction (Substance Use Disorder) Counselor provider in San Bernardino, CA (NPI 1013796069).
Provider details
- NPI number
- 1013796069
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- A020971015 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-27
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Jerry Chan's NPI number?
- Jerry Chan's National Provider Identifier (NPI) is 1013796069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Chan's specialty?
- Jerry Chan is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jerry Chan located?
- Jerry Chan's practice location on file with NPPES is 1369 E Highland Ave, San Bernardino, CA 92404-4640.
- What is Jerry Chan's phone number?
- The practice phone number listed in the NPPES registry for Jerry Chan is (909) 571-6035.
- Is Jerry Chan's NPI active?
- Yes — Jerry Chan's NPI (1013796069) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.