Individual provider Active NPI

David Chen, MD

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1023016896
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A78258 Issued in CA
Practice address
719 E 1St St Ste C
Santa Ana, CA 92701-5330
Phone
(714) 547-0104
Fax
(714) 973-8612
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A78258 CA Primary

Addresses

Primary practice location

719 E 1St St Ste C
Santa Ana, CA 92701-5330

Mailing address

719 East 1St. Street
Suite C
Santa Ana, CA 92701
Phone (714) 547-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301001066 CA Practitioner - Emergency MedicinePractitioner - General Practice 6204723604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garfield Health CenterGroup PAC ID 5597714766, 5 clinicians

Practice addresses (Care Compare)

210 N Garfield Ave
Monterey Park, CA 91754-1746
Phone (626) 307-7397

701 S Atlantic Blvd
Suite 100
Montery Park, CA 91754-1746

701 S Atlantic Blvd
Suite 100
Monterey Park, CA 91754-3845
Phone (626) 300-9980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Health Center CurrentSince Dec 1, 2012 Accepting new patients
Garfield Health Center General Practice CurrentSince Dec 1, 2012 Accepting new patients
Garfield Health Center General Practice Current Accepting new patients
First and Health Care Inc General Practice Past Accepting new patients

Locations

210 N Garfield Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 307-7397

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1023016896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 EAST 1ST. STREET",
            "address_2": "SUITE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-547-0104",
            "fax_number": "714-973-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 E 1ST ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015330",
            "telephone_number": "714-547-0104",
            "fax_number": "714-973-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A78258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.