Kimberly Chan, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A127955 Issued in CA

Practice address

407 W Colledge St
Los Angeles, CA 90012-2313

Phone

(213) 680-3990

NPI assigned

Dec 10, 2013

Last updated

Mar 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chan United Medical Group IncGroup PAC ID 1557669173, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heritage Manor Nursing home, Monterey Park, CA, CCN 055989

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3368/brand/1/csg/1/fhir/r4
• Direct secure messaging: kimberly.chan.1@3368.direct.athenahealth.com

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

• Chan United Medical Group, Inc.

  • General Practice Physician
  • Alhambra, CA
  • NPI 1720452154
  Medicare reassignment Care Compare group
• Shi Yin Wong MD, a Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1619029964
  Medicare reassignment NPD
• Pasadena Hospital Association, LTD.

  dba Huntington Hospital

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  NPD (past)

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

• Heritage Manor Healthcare LLC

  dba Heritage Manor Healthcare

  • Skilled Nursing Facility
  • Monterey Park, CA
  • NPI 1457457384

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1295166692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W COLLEDGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122313",
            "telephone_number": "213-680-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W COLLEDGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122313",
            "telephone_number": "213-680-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KIMBERLY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A127955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Chan, RDN OR RD
• Katherine Chan, MFT
• Kheng Sze Chan, MD, PHD
• Kiat Yeong Chan, M.D.
• Kimberley Hoang Chan, MD
• Kimberly L Chan, MFT
• Kit King Chan
• Kreighton L. Chan, MD
• Kwok On Chan, MD
• Leonardo Chan

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.