JENNIFER R. CHAN M.D.
NPI 1396756102
Family Medicine in Hawthorne, CA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
12618 HAWTHORNE BLVD., HAWTHORNE, CA 90250(310) 263-5700 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017 (2 updates tracked since 2017).

About Jennifer R. Chan M.d. NPPES

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

JENNIFER R. CHAN M.D. (NPI 1396756102) is an individual family medicine provider in Hawthorne, California, licensed in California (A92325) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1396756102
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER R. CHANCredential: M.D.
Location Address12618 HAWTHORNE BLVD.Hawthorne, CA 90250-2325
Mailing Address12618 Hawthorne Blvd.Hawthorne, CA 90250-2325 · (310) 263-5700
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1396756102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A92325 Licensed in HI · MD12989
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12618 HAWTHORNE BLVD., Hawthorne, CA 90250

Other Identifiers 1

Medicaid088054-01HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer R. Chan M.d. 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.

PECOS PAC ID3173547692
PECOS Enrollment IDI20070514000529
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
240 services117 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
72 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services32 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$3.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
12618 HAWTHORNE BLVD.
HAWTHORNE, CA 90250
Internal Medicine
12618 HAWTHORNE BLVD.
HAWTHORNE, CA 90250
Internal Medicine (Nephrology)
12618 HAWTHORNE BLVD.
HAWTHORNE, CA 90250
Pediatrics
12618 HAWTHORNE BLVD.
HAWTHORNE, CA 90250
Pediatrics
12618 HAWTHORNE BLVD.
HAWTHORNE, CA 90250
Internal Medicine
12618 HAWTHORNE BLVD.
HAWTHORNE, CA 90250
Internal Medicine
12618 HAWTHORNE BLVD.
HAWTHORNE, CA 90250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396756102, enumerated as an "individual" on August 10, 2006.

The provider is located at 12618 HAWTHORNE BLVD. HAWTHORNE, CA 90250 and the phone number is (310) 263-5700.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.