Arnold Chanin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A22013 Issued in CA

Practice address

455 Main St
El Segundo, CA 90245-3003

Phone

(310) 322-1611

Fax

(310) 322-4589

NPI assigned

Oct 12, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• El Segundo Medical Center Inc.

  • Family Medicine Physician
  • El Segundo, CA
  • NPI 1467549626
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750471801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MAIN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453003",
            "telephone_number": "310-322-1611",
            "fax_number": "310-322-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MAIN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453003",
            "telephone_number": "310-322-1611",
            "fax_number": "310-322-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANIN",
        "first_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A22013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Chang
• Maider Chang
• Randy Owen Chang
• Rex Der Chang, MD
• Tami M Chang, RPT
• Katrina Chanvimol
• Jesse Chapman
• Lindsay Chapman
• Lily Charbonneau
• Emily Charest

• Family Medicine Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.