Individual provider Active NPI

Benjamin Z Chan, MSW

  • Clinical Social Worker
  • Monrovia, CA
National Provider Identifier
1063585198
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 27124 Issued in CA
Practice address
2620 S California Ave
Monrovia, CA 91016-5026
Phone
(626) 471-6418
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 27124 CA Primary

Addresses

Primary practice location

2620 S California Ave
Monrovia, CA 91016-5026

Mailing address

2620 S California Ave
Monrovia, CA 91016-5026
Phone (626) 471-6418

Other names 1

  • Mr. Zhiping Chen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130418000226 CA Practitioner - Clinical Social Worker 2668618695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of California, Geffen School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1359 N Grand Ave
Covina, CA 91724-1016
Phone (747) 268-0917

330 E Live Oak Ave
Arcadia MHS
Arcadia, CA 91006-5617
Phone (626) 821-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27124CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Feb 19, 2013 Accepting new patients
La County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Feb 19, 2013 Accepting new patients

Locations

330 E Live Oak Ave
Arcadia, CA 91006
Phone (626) 254-1400

1359 N Grand Ave
Fl 2
Covina, CA 91724
Phone (626) 430-2901

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

2620 S California Ave
Monrovia, CA 91016
Phone (626) 471-6400

Interoperability endpoints

  • Direct secure messaging: bchan@lacdmh.netsmartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1063585198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S CALIFORNIA AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165026",
            "telephone_number": "626-471-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S CALIFORNIA AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165026",
            "telephone_number": "626-471-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BENJAMIN",
        "middle_name": "Z",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHIPING",
            "last_name": "CHEN",
            "prefix": "MR.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.