Dr Jimmy Chanbonpin, MD - Medicare Radiology in San Marino, CA

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Dr Jimmy Chanbonpin, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Marino, California. His current practice location is 1654 S El Molino Ave, San Marino, California. You can reach out to his office (for appointments etc.) via phone at (626) 285-5700.

Dr Jimmy Chanbonpin is licensed to practice in California (license number A39381) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699859520.

Contact Information

Dr Jimmy Chanbonpin, MD
1654 S El Molino Ave,
San Marino, CA 91108-1701
(626) 285-5700
(626) 285-0700

Map and Direction




Physician's Profile

Full NameDr Jimmy Chanbonpin
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1654 S El Molino Ave, San Marino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699859520
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 10/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9234210345
  • Enrollment ID: I20080115000491

Medical Identifiers

Medical identifiers for Dr Jimmy Chanbonpin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699859520NPI-NPPES
00A39381MedicaidCA
1699859520MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A39381 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jimmy Chanbonpin allows following entities to bill medicare on his behalf.
Entity NameC J Calvin Yang, M D A Professional Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902998370
PECOS PAC ID: 9234136979
Enrollment ID: O20061023000296
Entity NameKc Tan, M.d. Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215394036
PECOS PAC ID: 2062719719
Enrollment ID: O20160324000980
Entity NamePerch Yetenikyan, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043726367
PECOS PAC ID: 1355602970
Enrollment ID: O20180222001948

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jimmy Chanbonpin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jimmy Chanbonpin, MD
1654 S El Molino Ave,
San Marino, CA 91108-1701

Ph: (626) 285-5700		Dr Jimmy Chanbonpin, MD
1654 S El Molino Ave,
San Marino, CA 91108-1701

Ph: (626) 285-5700

Reviews and Comments


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Phone: 317-806-8285    Fax: 317-489-6750

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.