MRS. DAYAN CARLA BOOKMAN – Clinical Social Worker, NPI 1578872867

MRS. DAYAN CARLA BOOKMAN is a healthcare provider. based in Los angeles, California. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 68915 (CA). The NPI Number for MRS. DAYAN CARLA BOOKMAN is 1578872867

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DAYAN CARLA BOOKMAN
NPI
1578872867
Phone
(310) 668-5062
Address
1720 E 120th St
Enumeration Date
4 October 2010
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7032374000
Graduation Year
2006 (20 years ago)
PAC ID
6800199308
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20240727000400
Address ID
VA220464518FA201XXSTXX400

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

4,987 CLINICAL SOCIAL WORKER in CA

Provider Addresses for MRS. DAYAN CARLA BOOKMAN

  • 1720 E 120th St

    Los Angeles, CA 900593052

    Phone: (310) 668-5062

    Type: Location

  • 2046 WEDGEWOOD DR

    STONE MOUNTAIN, GA 300883941

    Phone: (310) 844-5629

    Type: Mailing

  • 6624 JIMMY CARTER BLVD STE A

    PEACHTREE CORNERS, GA 300711727

    Phone: (404) 900-5450

    Type: Location

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: 2024-07-27

PECOS data refreshed: 2026-05-27

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
I20240727000400IClinical Social WorkerDCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90059)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

Where can patients find MRS. DAYAN CARLA BOOKMAN's NPI?
You can confirm MRS. DAYAN CARLA BOOKMAN with NPI 1578872867; it appears in the national provider directory.
Is MRS. DAYAN CARLA BOOKMAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. DAYAN CARLA BOOKMAN?
The page reflects Clinical Social Worker for MRS. DAYAN CARLA BOOKMAN. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. DAYAN CARLA BOOKMAN?
The page summarizes Los Angeles, California for MRS. DAYAN CARLA BOOKMAN; expand the address list for detail.
How can I contact MRS. DAYAN CARLA BOOKMAN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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