Individual provider Active NPI

Jennifer See-Wah Chen, DPM. MPH

  • Foot & Ankle Surgery Podiatrist
  • Glendora, CA
National Provider Identifier
1033506142
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5196 Issued in CA
Practice address
504 W Baseline Rd Ste E
Glendora, CA 91740-4837
Phone
(626) 963-0302
Fax
(626) 963-4703
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5196 CA Primary

Addresses

Primary practice location

504 W Baseline Rd Ste E
Glendora, CA 91740-4837

Mailing address

504 W Baseline Rd Ste E
Glendora, CA 91740-4837
Phone (626) 963-0302

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819007234 CA Practitioner - Podiatry 4587979695 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5196CAMDFoot & Ankle Surgery Podiatrist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: superjen83@direct.meditouchehr.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1033506142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W BASELINE RD STE E",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404837",
            "telephone_number": "626-963-0302",
            "fax_number": "626-963-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W BASELINE RD STE E",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404837",
            "telephone_number": "626-963-0302",
            "fax_number": "626-963-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JENNIFER",
        "middle_name": "SEE-WAH",
        "name_prefix": "Dr.",
        "credential": "DPM. MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.