ANDY CHAN MD
NPI 1043846074
Pediatrics in Los Angeles, CA
About Andy Chan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDY CHAN MD (NPI 1043846074) is an individual pediatrics provider in Los Angeles, California, licensed in California (A183731) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andy Chan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Andy Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andy Chan's NPI number?
The NPI number for Andy Chan is 1043846074. It was assigned to this individual provider in the NPPES registry on March 21, 2020.
Where is Andy Chan located?
Andy Chan practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 361-5115.
What is Andy Chan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Andy Chan enrolled in Medicare?
Yes. Andy Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Andy Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andy Chan reassigns Medicare benefits to 2 organizations: Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA) and Southern California Permanente Medical Group (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andy Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andy Chan was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andy Chan, MD · NPI 1043846074
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 21, 2020.
## Identity
- **NPI:** 1043846074 (Entity type: Individual)
- **Enumerated:** March 21, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A183731 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4650 W SUNSET BLVD, Los Angeles, CA 90027-6062
- **Phone:** (323) 361-5115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA); Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043846074) · Data from the CMS NPPES public registry.