Individual provider Active NPI

Shaw S. Chen, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1043233281
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G072500 Issued in CA
Practice address
1701 E Cesar E Chavez Ave
Suite #100
Los Angeles, CA 90033-2464
Phone
(323) 987-1362
Fax
(323) 987-1366
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G072500 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave
Suite #100
Los Angeles, CA 90033-2464

Mailing address

PO Box 51741
Los Angeles, CA 90051-6041
Phone (323) 987-1362

Other identifiers 1

IdentifierTypeStateIssuer
00G725000MedicaidCA

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
I20110607000003 CA Practitioner - Internal Medicine 5294629911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Memorial Medical Group IncGroup PAC ID 9436042967, 12 clinicians
White Memorial Medical CenterGroup PAC ID 4486622362, 68 clinicians

Practice addresses (Care Compare)

1701 E Cesar E Chavez Ave
Los Angeles, CA 90033-2496
Phone (323) 987-1362

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066

Hospital & facility affiliations

  • Cardinal Home Health Care Home health agency, Ontario, CA, CCN 059021
  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72500CAMDPharmacist
G072500CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Medical Group, Inc. Internal Medicine CurrentSince Jul 1, 1993 Accepting new patients
White Memorial Medical Center CurrentSince Sep 14, 2025 Accepting new patients
White Memorial Medical Group, Inc. Current Accepting new patients

Locations

1701 E Cesar E Chavez Ave
Ste 120
Los Angeles, CA 90033
Phone (323) 987-1362

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1701 E Cesar E Chavez Ave
Ste 510
Los Angeles, CA 90033
Phone (323) 987-1309

1701 E Cesar E Chavez Ave
Ste 100
Los Angeles, CA 90033
Phone (323) 987-1309

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shaw.chen.1@27758.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043233281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51741",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900516041",
            "telephone_number": "323-987-1362",
            "fax_number": "323-987-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE #100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-987-1362",
            "fax_number": "323-987-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SHAW",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G072500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G725000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.