Active NPI
Xin Chen, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Hawthorne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A155042
- Practice address
- 4455 W 117TH St Ste 502
Hawthorne, CA 90250-2261 - Phone
- (424) 236-4800
- NPI assigned
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A155042 | CA | Primary |
Addresses
Primary practice location
4455 W 117TH St Ste 502
Hawthorne, CA 90250-2261
Mailing address
2550 W Main St Ste 301
Alhambra, CA 91801-7003
Phone (424) 236-4800
Other practice location 1
1414 S Grand Ave Ste 456
Los Angeles, CA 90015-3071
Phone (408) 823-1252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XC3232267556 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Toledo College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4455 W 117TH St
Hawthorne, CA 90250-2240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155042 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Community Clinic | Current | Accepting new patients | |
| Northeast Community Clinic | Current | Accepting new patients | |
| Northeast Community Clinic | Current | Accepting new patients |
Locations
2550 W Main St
Ste 301
Alhambra, CA 91801
Phone (626) 457-6900
4455 W 117th St
Ste 502
Hawthorne, CA 90250
Phone (310) 219-7701
1414 S Grand Ave
Ste 380
Los Angeles, CA 90015
Phone (213) 222-1300
1414 S Grand Ave
Ste 456
Los Angeles, CA 90015
Phone (213) 745-6047
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Wilmington, CA
- NPI 1700097540
-
- Federally Qualified Health Center (FQHC)
- Harbor City, CA
- NPI 1043725583
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, CA
- NPI 1275226334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1033573241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W MAIN ST STE 301",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918017003",
"telephone_number": "424-236-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 W 117TH ST STE 502",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502261",
"telephone_number": "424-236-4800"
}
],
"practiceLocations": [
{
"address_1": "1414 S Grand Ave Ste 456",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153071",
"country_code": "US",
"telephone_number": "408-823-1252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "XIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A155042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XC3232267556",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.