Individual provider Active NPI

John Chan, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1174723928
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12211 Issued in CA
Practice address
729 Filbert St
San Francisco, CA 94133-2760
Phone
(415) 352-2000
Fax
(415) 352-2050
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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 LCS12211 CA Primary

Addresses

Primary practice location

729 Filbert St
San Francisco, CA 94133-2760

Mailing address

729 Filbert St
San Francisco, CA 94133-2760
Phone (415) 352-2000

Other identifiers 1

IdentifierTypeStateIssuer
752OtherSFGH INTERNAL USE ONLY

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
I20050429000317 CA Practitioner - Clinical Social Worker 8820037799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

729 Filbert St
San Francisco, CA 94133-2760
Phone (415) 352-3000

760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1700

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12211CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Jan 27, 2014 Accepting new patients
City & County of San Francisco Current Accepting new patients
City & County of San Francisco CurrentSince Jan 27, 2014 Accepting new patients

Locations

729 Filbert St
San Francisco, CA 94133
Phone (415) 255-3602

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 3

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1174723928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 FILBERT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332760",
            "telephone_number": "415-352-2000",
            "fax_number": "415-352-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 FILBERT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332760",
            "telephone_number": "415-352-2000",
            "fax_number": "415-352-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY",
            "identifier": "752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.