Individual provider Active NPI

Gloria Chan

  • Clinical Social Worker
  • Commerce, CA
National Provider Identifier
1528559234
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130471 Issued in CA
Practice address
5650 Jillson St
Commerce, CA 90040-1482
Phone
(866) 733-5924
NPI assigned
May 29, 2018
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW108403 CA
Social Worker 104100000X CA
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 130471 CA Primary

Addresses

Primary practice location

5650 Jillson St
Commerce, CA 90040-1482

Mailing address

5650 Jillson St
Commerce, CA 90040-1482
Phone (866) 733-5924

Other practice location 1

5190 Atlantic Ave
Long Beach, CA 90805
Phone (562) 428-4111

Other practice location 2

5190 Atlantic Ave
Long Beach, CA 90805
Phone (562) 428-4111

Other practice location 3

112 N Chandler Ave
Monterey Park, CA 91754-1577
Phone (626) 293-8733

Other practice location 4

9353 Valley Blvd
Rosemead, CA 91770-1923
Phone (626) 287-2988

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
I20250711003586 CA Practitioner - Clinical Social Worker 5890200505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW108403CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JWCH Institute Inc CurrentSince May 30, 2025 Accepting new patients
JWCH Institute Inc Case Manager/Care Coordinator Current Accepting new patients
JWCH Institute, Inc. Case Manager/Care Coordinator CurrentSince May 30, 2025 Accepting new patients

Locations

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

954 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 454-4850

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

Interoperability endpoints

  • Direct secure messaging: gloria.chan.p1@direct.jwch.nextgenshare.com

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, 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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1528559234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 JILLSON ST",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401482",
            "telephone_number": "866-733-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 JILLSON ST",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401482",
            "telephone_number": "866-733-5924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5190 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90805",
            "country_code": "US",
            "telephone_number": "562-428-4111",
            "fax_number": "562-984-5610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5190 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90805",
            "country_code": "US",
            "telephone_number": "562-428-4111",
            "fax_number": "562-984-5610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Chandler Ave",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917541577",
            "country_code": "US",
            "telephone_number": "626-293-8733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9353 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701923",
            "country_code": "US",
            "telephone_number": "626-287-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW108403",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

Verify at the official NPI Registry.