Active NPI
Jun Wing Chen, OD
- Optometrist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35704
- Practice address
- 5460 E la Palma Ave
Anaheim, CA 92807-2023 - Phone
- (714) 449-7404
- NPI assigned
- Jun 3, 2024
- Last updated
- Jul 1, 2026
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35704 | CA | Primary |
Addresses
Primary practice location
5460 E la Palma Ave
Anaheim, CA 92807-2023
Mailing address
1303 142ND Ave SE
Bellevue, WA 98007-5542
Phone (425) 628-7944
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) |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18600 S Figueroa St
Gardena, CA 90248-4505
Phone (310) 325-5111
25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
3900 E Pacific Coast Hwy
Long Beach, CA 90804-2013
Phone (562) 986-2200
5460 E la Palma Ave
Anaheim, CA 92807-2023
Phone (714) 463-7520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall B. Ketchum University | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Marshall B. Ketchum University | Optometrist | Current | Accepting new patients |
Locations
5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500
2575 Yorba Linda Blvd
Fullerton, CA 92831
Phone (714) 449-7400
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
3916 S Broadway
Los Angeles, CA 90037
Phone (323) 234-9137
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Anaheim, CA
- NPI 1720101876
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Ketchum Health Medical Clinic
- Multi-Specialty Clinic/Center
- Anaheim, CA
- NPI 1174037493
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Harbor City, CA
- NPI 1598797011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1073354478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 142ND AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075542",
"telephone_number": "425-628-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 E LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072023",
"telephone_number": "714-449-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JUN WING",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35704",
"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": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5460 E La Palma Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928072023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.