Active NPI
Katherine Chen
- Ophthalmology Physician
- Glendale, CA
National Provider Identifier
1053638726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A136608
- Practice address
- 409 N Central Ave
Glendale, CA 91203-2001 - Phone
- (818) 265-7777
- NPI assigned
- Apr 21, 2010
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A136608 | CA | Primary |
Addresses
Primary practice location
409 N Central Ave
Glendale, CA 91203-2001
Mailing address
409 N Central Ave
Glendale, CA 91203-2001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171010002754 | CA | Practitioner - Ophthalmology | 4284853730 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136608 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James McCaffery MD a Professional Corp | Ophthalmology | Current | Accepting new patients |
| James McCaffery MD a Professional Corp | Ophthalmology | Current | Accepting new patients |
| Specialty Eye Care Medical Center, Inc. | Ophthalmology | Past | Accepting new patients |
| Brand Surgery Center, LLC | Past | Accepting new patients |
Locations
500 N Central Ave
Ste 400
Glendale, CA 91203
Phone 8184765107201
14124 Foothill Blvd
Sylmar, CA 91342
Phone (818) 364-8181
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Glendale, CA
- NPI 1710962865
-
- Ophthalmology Physician
- Sylmar, CA
- NPI 1750580940
-
- Ambulatory Surgical Clinic/Center
- Glendale, CA
- NPI 1437537107
-
- Ophthalmology Physician
- Glendale, CA
- NPI 1932137601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1053638726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032001",
"telephone_number": "818-265-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A136608",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4733 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.