Active NPI
Andrew Steven Chen
- Internal Medicine Physician
- Fontana, CA
National Provider Identifier
1053873646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A182957
- Practice address
- 14050 Cherry Ave Ste C
Fontana, CA 92337-8312 - Phone
- (909) 823-5220
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A182957 | CA | Primary |
Addresses
Primary practice location
14050 Cherry Ave Ste C
Fontana, CA 92337-8312
Mailing address
14050 Cherry Ave Ste C
Fontana, CA 92337-8312
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
- Ohio State University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14050 Cherry Ave
Suite C
Fontana, CA 92337-8312
Phone (909) 823-5220
Hospital & facility affiliations
- San Antonio Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew S. Chen, M.D., Inc. | Internal Medicine | Current | Accepting new patients |
Locations
14050 Cherry Ave
Ste C
Fontana, CA 92337
Phone (909) 823-5220
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- andrew.chen@hca3.eclinicaldirectplus.com
- andrew.chen@531934331994116.direct.elationemr.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.
-
- Internal Medicine Physician
- Fontana, CA
- NPI 1194592923
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1053873646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14050 CHERRY AVE STE C",
"city": "FONTANA",
"state": "CA",
"postal_code": "923378312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 CHERRY AVE STE C",
"city": "FONTANA",
"state": "CA",
"postal_code": "923378312",
"telephone_number": "909-823-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANDREW",
"middle_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A182957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.