Active NPI
Joanna Chau Jane Chen, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Newport Beach, CA
National Provider Identifier
1073576807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- G83480
- Practice address
- One Hoag Dr
Ecu Dept.
Newport Beach, CA 92658-6100 - Phone
- (949) 764-5689
- Fax
- (405) 749-4561
- NPI assigned
- Apr 11, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | G83480 | CA | Primary |
Addresses
Primary practice location
One Hoag Dr
Ecu Dept.
Newport Beach, CA 92658-6100
Mailing address
PO Box 720300
Oklahoma City, OK 73172-0300
Phone (800) 749-4560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G834800 | Medicaid | CA | |
| 00G834800670 | Medicaid | CA | |
| 00G834800 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83480 | CA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Emergency Medical Group Inc | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Newport Beach, CA
- NPI 1922061779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1073576807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731720300",
"telephone_number": "800-749-4560",
"fax_number": "405-749-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HOAG DR",
"address_2": "ECU DEPT.",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926586100",
"telephone_number": "949-764-5689",
"fax_number": "405-749-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JOANNA",
"middle_name": "CHAU JANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "G83480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G834800",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G834800670",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G834800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.