Active NPI
Craig Michael Chanin, M.D.
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1831222744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A063514
- Practice address
- 1930 Wilshire Blvd
Suite 301
Los Angeles, CA 90057-3605 - Phone
- (213) 483-1999
- Fax
- (213) 483-1919
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A063514 | CA | Primary |
Addresses
Primary practice location
1930 Wilshire Blvd
Suite 301
Los Angeles, CA 90057-3605
Mailing address
1930 Wilshire Blvd
Suite 301
Los Angeles, CA 90057-3605
Phone (213) 483-1999
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181127003010 | CA | Practitioner - Family Practice | 7618211947 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- David B. Hammer
Practice addresses (Care Compare)
1051 Las Tablas Rd
Templeton, CA 93465-5603
115 Gibson Rd
Templeton, CA 93465-9510
Phone (805) 434-6868
Hospital & facility affiliations
- Central Coast Home Health Inc
- Mission Home Health of Central Coast
- French Hospital Medical Center
- Adventist Health Twin Cities
- Marian Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A063514 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig M Chanin MD Inc | Family Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Family Medicine | Past | Accepting new patients |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Encompass Health Rehabilitation Hospital of Tustin, LLC | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients |
Locations
115 Gibson Rd
Templeton, CA 93465
Phone (805) 329-5559
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDDCCD/Endpoint/DDDCCD
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- Rehabilitation Hospital
- Tustin, CA
- NPI 1043284706
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
Family Medicine
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- Home Health Agency
- Grover Beach, CA
- NPI 1083050280
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1831222744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 WILSHIRE BLVD",
"address_2": "SUITE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573605",
"telephone_number": "213-483-1999",
"fax_number": "213-483-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 WILSHIRE BLVD",
"address_2": "SUITE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573605",
"telephone_number": "213-483-1999",
"fax_number": "213-483-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANIN",
"first_name": "CRAIG",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A063514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.