BENJAMIN CHAN (MD) – Emergency Medicine Physician, NPI 1114489424

BENJAMIN CHAN (MD) is a healthcare provider. based in Los angeles, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A182175 (CA). The NPI Number for BENJAMIN CHAN (MD) is 1114489424

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN CHAN (MD)
NPI
1114489424
Phone
(310) 794-0785
Address
757 WESTWOOD PLZ
Enumeration Date
4 April 2019
Last Update Date
3 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8189022990
Graduation Year
2019 (7 years ago)
PAC ID
6800268327
Group Practice PAC ID
1951308105
Professional Enrollment ID
I20230629002106
Address ID
CA914054542VA15107STXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

5,826 EMERGENCY MEDICINE in CA

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Provider Addresses for BENJAMIN CHAN (MD)

  • Ronald Reagan UCLA Medical Center, 757, Westwood Plaza, Westwood, Los Angeles, Los Angeles County, California, 90095, United States

    LOS ANGELES, CA 900957419

    Phone: (310) 794-0785

    Fax: (310) 794-0599

    Type: Mailing

  • 15107 VANOWEN ST

    VAN NUYS, CA 914054542

    Phone: (818) 782-6600

    Type: Location

  • PO BOX 92752

    PASADENA, CA 911092752

    Phone: (626) 604-6228

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230629002106IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making105100$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6463$0
71045X-ray of chest, 1 view5251$0
99284Emergency department visit with moderate level of medical decision making4040$0
99291Critical care, first 30-74 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 90095)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951308105View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineIL
-CA
Emergency MedicineCA
Emergency MedicineMI
Emergency MedicineCA
Emergency MedicinePA
-MI
Emergency MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BENJAMIN CHAN (MD)?
BENJAMIN CHAN (MD) — NPI 1114489424 — is the standard way to identify this listing.
Does the file indicate BENJAMIN CHAN (MD) is practicing under active NPI?
Directory data currently reports BENJAMIN CHAN (MD) as active.
What is BENJAMIN CHAN (MD) best known for clinically?
Directory data describes BENJAMIN CHAN (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does BENJAMIN CHAN (MD) serve?
BENJAMIN CHAN (MD)'s listing highlights Los Angeles, California; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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