Cicely Chen, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Sonora, CA
NPI 1043625916 · NPPES record last updated Oct 22, 2019
Key facts
- NPI
- 1043625916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- A153338 (CA)
- Practice address
- 900 Greenley Rd, Suite 922 Adventist Health (Sierra OB/
Sonora, CA 95370 - Phone
- (209) 536-3750
- Fax
- (209) 532-9811
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sonora Community Hospital
Practice addresses (Care Compare)
193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100
900 Greenley Rd
Suite 923
Sonora, CA 95370-5287
Phone (209) 536-3730
Hospital & facility affiliations
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 81.74
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181115002381 | CA | Practitioner - Obstetrics/Gynecology | 3375897077 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153338 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Obstetrics & Gynecology | Current |
Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current |
Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current |
Accepting new patients | |
| Sonora Community Hospital | Past | Accepting new patients |
Locations
900 Greenley Rd
Ste 923
Sonora, CA 95370
Phone (209) 536-5090
1000 Greenley Rd
Ofc
Sonora, CA 95370
Phone (209) 536-3427
12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785
193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100
900 Greenley Rd
Ste 922
Sonora, CA 95370
Phone (209) 536-3738
193 Fairview Ln
Ste F
Sonora, CA 95370
Phone (209) 536-3277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A153338 | CA | Yes |
Addresses
Primary practice location
900 Greenley Rd, Suite 922 Adventist Health (Sierra OB/
Sonora, CA 95370
Mailing address
900 Greenley Rd, Suite 922 Adventist Health (Sierra OB/
Sonora, CA 95370
Phone (209) 536-3750
Other providers in Sonora, CA
- Holly Joyce Chandler
- Lawrence Chang
- Clint J Chapel
- Charles F. Habekost, D.D.S., Dental Corporation
- Charles G Cox MD Medical Corporation
- Cheryl Peterson Marriage and Family Therapy PC
- Suneeta J. Chhugani
- Todd William Christensen
- Genessa Luz Christian
- Jacquelyn Rose Cituk
All providers in Sonora, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.