Individual provider Active NPI

Dan Moshe Kahen, D.O.

  • Family Medicine Physician
  • Gardena, CA
National Provider Identifier
1417226234
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 11814 Issued in CA
Practice address
1146 W Redondo Beach Blvd
Gardena, CA 90247-3538
Phone
(310) 323-9999
Fax
(310) 323-9999
NPI assigned
Dec 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A 11814 CA Primary

Addresses

Primary practice location

1146 W Redondo Beach Blvd
Gardena, CA 90247-3538

Mailing address

5504 Whittier Blvd
Commerce, CA 90022-4104
Phone (323) 725-0167

Other practice location 1

5504 Whittier Blvd
Commerce, CA 90022-4104
Phone (323) 725-0167

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
I20120830000572 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0446407175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1146 W Redondo Beach Blvd
Gardena, CA 90247-3538
Phone (323) 490-9560

5504 Whittier Blvd
Commerce, CA 90022-4104
Phone (323) 460-9560

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11814CAMDMental Health Counselor
20A 11814CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dan M Kahen, DO Apc Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Dan M Kahen, DO Apc Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Gardena Hospital LP Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients

Locations

5504 Whittier Blvd
Commerce, CA 90022
Phone (323) 460-9560

1146 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 323-9999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1417226234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 WHITTIER BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900224104",
            "telephone_number": "323-725-0167",
            "fax_number": "323-725-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473538",
            "telephone_number": "310-323-9999",
            "fax_number": "310-323-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5504 Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900224104",
            "country_code": "US",
            "telephone_number": "323-725-0167",
            "fax_number": "323-725-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHEN",
        "first_name": "DAN",
        "middle_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 11814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.