Active NPI
Jenny Chan, D.O.
- Anesthesiology Physician
- West Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A17067
- Practice address
- 8700 Beverly Blvd
West Hollywood, CA 90048-1804 - Phone
- (310) 423-5841
- NPI assigned
- Apr 1, 2015
- Last updated
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Anesthesiology Physician | 207L00000X | 20A17067 | CA | Primary |
| Anesthesiology Physician | 207L00000X | 125067328 | IL |
Addresses
Primary practice location
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Mailing address
4650 W Sunset Blvd # 3L
Los Angeles, CA 90027-6062
Phone (323) 361-5591
Other practice location 1
4650 W Sunset Blvd # 3L
Los Angeles, CA 90027-6062
Phone (323) 361-5591
Other practice location 2
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-5495
Other practice location 3
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-5495
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066
4725 -4733 Sunset Blvd
Los Angeles, CA 90027-6021
Phone (323) 783-4011
4733 W Sunset Blvd
Los Angeles, CA 90027-6021
Phone (213) 667-4784
4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Phone (323) 783-4011
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.02 of 100
- Quality
- 69.82
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 67.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17067 | CA | MD | Anesthesiology Physician |
| 17067 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Memorial Medical Center | Current | Accepting new patients | |
| Children's Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Glendale Adventist Medical Center | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Glendale Adventist Medical Center | Current | Accepting new patients | |
| Consultants for Anesthesia & Management of Pain | Anesthesiology | Current | Accepting new patients |
Locations
1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
4650 W Sunset Blvd
#3L
Los Angeles, CA 90027
Phone (323) 361-5591
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Organizations & group practices 9
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
- Anesthesiology Physician
- Glendale, CA
- NPI 1952323909
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
dba Adventist Health Glendale
- Psychiatric Hospital Unit
- Glendale, CA
- NPI 1336138403
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Panorama City, CA
- NPI 1407888928
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1588059075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 3L",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-5591",
"fax_number": "323-361-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "310-423-5841"
}
],
"practiceLocations": [
{
"address_1": "4650 W Sunset Blvd # 3L",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276062",
"country_code": "US",
"telephone_number": "323-361-5591",
"fax_number": "323-361-1001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1653 W Congress Pkwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123833",
"country_code": "US",
"telephone_number": "312-942-5495",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1653 W Congress Pkwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123833",
"country_code": "US",
"telephone_number": "312-942-5495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "JENNY",
"name_prefix": "Miss",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A17067",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "125067328",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4733 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.