San Wan, Mdpc
San Wan, Mdpc is a healthcare organization registered as Dermatology Physician in Braintree, MA, holding Type 2 (organization) NPI 1699748541 since 2006. The authorized official on file is San Wan, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699748541 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | San Wan, Mdpc |
| Practice address | 340 WOOD RD, Braintree, MA, 02184 |
| Phone | 7818491111 |
| Enumeration date | 2006-02-10 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | San Wan |
|---|---|
| Title | President |
| Phone | 7816479863 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9737812 | Medicaid | MA | — |
| M13923 | Other | MA | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: San Wan, Mdpc NPI: 1699748541 Taxonomy: 207N00000X (Dermatology Physician) Address: 340 WOOD RD, Braintree, MA, 02184
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538140868 | Kathryn Foley Ferrari | Individual | Physical Therapist | Braintree, MA |
| 1295707123 | San Wan | Individual | Dermatology Physician | Braintree, MA |
| 1285600734 | Raymond Colella | Individual | Psychiatry Physician | Braintree, MA |
| 1518929637 | Louis Maggio | Individual | Internal Medicine Physician | Braintree, MA |
| 1730147760 | Katherine Jin | Individual | Pediatrics Physician | Braintree, MA |
| 1265460968 | Jamie Delugan | Individual | Optometrist | Braintree, MA |
| 1205865086 | Boston Vascular Center, L.L.C. | Organization | Radiology Clinic/Center | Braintree, MA |
| 1285653402 | Boston Neurological Associates PC | Organization | Neurology Physician | Braintree, MA |
Verify this record
Cross-check NPI 1699748541 against the authoritative CMS record: view San Wan, Mdpc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is San Wan, Mdpc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.