Active NPI
Daniel K Cham, MD
- Pediatrics Physician
- San Gabriel, CA
National Provider Identifier
1265498505
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Oct 18, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A86714
- Practice address
- 714 W Santa Anita St
Ste B
San Gabriel, CA 91776 - Phone
- (626) 576-1755
- Fax
- (626) 576-1755
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A86714 | CA | Primary |
Addresses
Primary practice location
714 W Santa Anita St
Ste B
San Gabriel, CA 91776
Mailing address
1014 S Marengo Ave
#6
Alhambra, CA 91803
Phone (626) 282-0686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86714 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Eisenberg MD Inc | Past | Accepting new patients | |
| Daniel K Cham, MD, Inc | Past | Accepting new patients | |
| Bienestar Community Clinic | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Brawley, CA
- NPI 1902839343
-
- Clinic/Center
- Bakersfield, CA
- NPI 1841836459
-
- General Practice Physician
- Fresno, CA
- NPI 1932358983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265498505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 S MARENGO AVE",
"address_2": "#6",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "91803",
"telephone_number": "626-282-0686",
"fax_number": "626-282-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 W SANTA ANITA ST",
"address_2": "STE B",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "91776",
"telephone_number": "626-576-1755",
"fax_number": "626-576-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAM",
"first_name": "DANIEL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A86714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.