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CHOK P WAN MD INC
NPI 1336443548
Clinic/Center in Long Beach, CA

Active since January 03, 2011
2153 PACIFIC AVE, LONG BEACH, CA 90806(562) 599-4833(562) 599-6366 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chok P Wan Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHOK P WAN MD INC (NPI 1336443548) is a healthcare organization registered as a clinic/center in Long Beach, California and active in the NPI registry since January 2011. The organization lists Chok P Wan, President, as its authorized official.

NPPES Registry Identity

NPI1336443548
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHOK P WAN MD INC
Location Address2153 PACIFIC AVELong Beach, CA 90806-4513
Mailing AddressPo Box 6096Long Beach, CA 90806-0096
Phone(562) 599-4833
Fax(562) 599-6366
Organization SubpartNo
Authorized OfficialChok P WanPresident · (562) 599-4833
Enumeration DateJanuary 3, 2011
Last NPPES UpdateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
✔ NPI 1336443548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2153 PACIFIC AVE, Long Beach, CA 90806
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Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chok P Wan Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111026000264Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Chok P Wan MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chok Wan, M.D.
Internal Medicine
NPI 1346346616
2153 PACIFIC AVENUE
Long Beach, CA 90806
(562) 599-4833
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chok P Wan MD Inc's NPI number?

The NPI number for Chok P Wan MD Inc is 1336443548. It was assigned to this organization in the NPPES registry on January 3, 2011.

Where is Chok P Wan MD Inc located?

Chok P Wan MD Inc is located at 2153 Pacific Ave, Long Beach, CA 90806. The listed phone number is (562) 599-4833.

What is Chok P Wan MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Chok P Wan MD Inc enrolled in Medicare?

Yes. Chok P Wan MD Inc is registered in the Medicare PECOS enrollment system.

When is Chok P Wan MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Chok P Wan MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Chok P Wan MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chok P Wan MD Inc was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.