Individual provider Active NPI

Ben Chun-Ju Chiang, M.D.

  • Hospitalist Physician
  • Hacienda Heights, CA
National Provider Identifier
1073742193
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A105641 Issued in CA
Practice address
3120 S Hacienda Blvd Ste 103
Hacienda Heights, CA 91745-6305
Phone
(626) 855-1091
Fax
(626) 369-5988
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A105641 CA
Hospitalist Physician 208M00000X A105641 CA Primary

Addresses

Primary practice location

3120 S Hacienda Blvd Ste 103
Hacienda Heights, CA 91745-6305

Mailing address

3120 S Hacienda Blvd Ste 103
Hacienda Heights, CA 91745-6305
Phone (626) 855-1091

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000134 CA Practitioner - Family Practice 4789719634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as group
Improvement activities
40
Cost
69.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105641CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Southern California Inc CurrentSince Dec 1, 2022 Accepting new patients
Arcadia Hospitalist Medical Group, Inc. CurrentSince Mar 22, 2014 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

1624 S Grand Ave
Glendora, CA 91740
Phone (626) 859-2249

3235 E Colorado Blvd
Ste 102
Pasadena, CA 91107
Phone (626) 859-2249

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1073742193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S HACIENDA BLVD STE 103",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456305",
            "telephone_number": "626-855-1091",
            "fax_number": "626-369-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S HACIENDA BLVD STE 103",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456305",
            "telephone_number": "626-855-1091",
            "fax_number": "626-369-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "BEN",
        "middle_name": "CHUN-JU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105641",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A105641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.