Individual provider Active NPI

Karen Chan Capece, MSW

  • Social Worker
  • San Leandro, CA
National Provider Identifier
1801077888
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
18408 Issued in CA
Practice address
15750 Foothill Blvd
San Leandro, CA 94578-1012
Phone
(510) 667-4901
Fax
(510) 667-4964
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 18408 CA Primary

Addresses

Primary practice location

15750 Foothill Blvd
San Leandro, CA 94578-1012

Mailing address

15750 Foothill Blvd
San Leandro, CA 94578-1012
Phone (510) 667-4901

Other names 1

  • Miss Karen Jin-Oy Chan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20110114000961 CA Practitioner - Clinical Social Worker 4385833722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18408CAMDDental Hygienist
24781CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Alameda CurrentSince Feb 17, 2025 Accepting new patients
Alameda County CurrentSince Feb 17, 2025 Accepting new patients
Alameda County Current Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

15750 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 667-3950

39155 Liberty St
Ste G710
Fremont, CA 94538
Phone (510) 795-2434

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1801077888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15750 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781012",
            "telephone_number": "510-667-4901",
            "fax_number": "510-667-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781012",
            "telephone_number": "510-667-4901",
            "fax_number": "510-667-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPECE",
        "first_name": "KAREN",
        "middle_name": "CHAN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "18408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CHAN",
            "middle_name": "JIN-OY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.