Individual provider Active NPI

Daniel K Cham, MD

  • Pediatrics Physician
  • San Gabriel, CA
National Provider Identifier
1265498505
Registry record updated Jul 8, 2007
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A86714 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86714CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Eisenberg MD Inc Past Accepting new patients
Daniel K Cham, MD, Inc PastSince Jun 15, 2006 Accepting new patients
Bienestar Community Clinic PastSince Nov 1, 2019 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.

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

Verify at the official NPI Registry.