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MRS. RUBY CELESTE CHAN MS
NPI 1871627836
Marriage & Family Therapist in Los Angeles, CA

Active since March 14, 2007PECOS Enrolled
3787 S VERMONT AVE, LOS ANGELES, CA 90007(323) 766-2345 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Ruby Celeste Chan Ms NPPES

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

MRS. RUBY CELESTE CHAN MS (NPI 1871627836) is an individual marriage & family therapist in Los Angeles, California, licensed in California (MFC 51379) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871627836
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. RUBY CELESTE CHANCredential: MS
Location Address3787 S VERMONT AVELos Angeles, CA 90007-4203
Mailing Address3787 S Vermont AveLos Angeles, CA 90007-4203 · (323) 766-2345 · Fax (323) 766-3636
Phone(323) 766-2345
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateMay 9, 2013
✔ NPI 1871627836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 51379
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3787 S VERMONT AVE, Los Angeles, CA 90007
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ruby Celeste Chan Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ruby Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.0 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

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

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.

GENEVIEVE GISELLE SIMARI PSY.D
Rehabilitation Counselor
3787 S VERMONT AVE
LOS ANGELES, CA 90007
Los Angeles County (323) 766-2345
NATASHA BROOKE BRYSON MS
Counselor (Professional)
3787 S VERMONT AVE
LOS ANGELES, CA 90007
Los Angeles County (323) 766-2345
MACKENNA L CABEJE
Student in an Organized Health Care Education/Training Program
3787 S VERMONT AVE
LOS ANGELES, CA 90007
Los Angeles County (323) 766-2345
CONCEPCION RAMOS
Rehabilitation Practitioner
3787 S VERMONT AVE
LOS ANGELES, CA 90007
Los Angeles County (323) 766-2345
ANGELA PEREZ MFT
Marriage & Family Therapist
3787 S VERMONT AVE
LOS ANGELES, CA 90007
Los Angeles County (323) 766-2345
TALIA L MANDEL PSYD
Psychologist (Clinical)
3787 S VERMONT AVE
LOS ANGELES, CA 90007
Los Angeles County (323) 766-2360
MRS. JENNIFER N OGOKE
Social Worker (Clinical)
3787 S VERMONT AVE
LOS ANGELES, CA 90007
Los Angeles County (323) 766-2345
BERNARDETTE MEDINA GHOLAMI MSW
Rehabilitation Practitioner
3787 S VERMONT AVE
LOS ANGELES, CA 90007
Los Angeles County (323) 766-2345

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 Ruby Chan's NPI number?

The NPI number for Ruby Chan is 1871627836. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Ruby Chan located?

Ruby Chan practices at 3787 S Vermont Ave, Los Angeles, CA 90007. The listed phone number is (323) 766-2345.

What is Ruby Chan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ruby Chan enrolled in Medicare?

Yes. Ruby Chan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ruby Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Chan reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Ruby 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 Ruby Chan was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.