Individual provider Active NPI

Reuben Kuan-Chun Chen, MD

  • Physical Medicine & Rehabilitation Physician
  • Torrance, CA
National Provider Identifier
1083888069
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
T2343 Issued in TX
Practice address
23150 Crenshaw Blvd
Torrance, CA 90505-3025
Phone
(310) 437-7399
Fax
(310) 437-7398
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X T2343 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X A112622 CA

Addresses

Primary practice location

23150 Crenshaw Blvd
Torrance, CA 90505-3025

Mailing address

1001 12TH Ave Ste 171
Fort Worth, TX 76104-3926
Phone (817) 576-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812000965 TX Practitioner - Physical Medicine and Rehabilitation 5193979151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Un of California, Irvine, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southlake Physical Medicine PLLCGroup PAC ID 0244517514, 2 clinicians

Practice addresses (Care Compare)

1500 W Southlake Blvd
Suite 120
Southlake, TX 76092-5951
Phone (817) 898-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112622CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Medical and Chiropractic, PLLC CurrentSince Apr 27, 2023 Accepting new patients
Neurosurgical and Spine Consultants, PA CurrentSince Mar 1, 2022 Accepting new patients
Neurosurgical and Spine Consultants, PA Current Accepting new patients
Southlake Physical Medicine PLLC CurrentSince May 7, 2025 Accepting new patients
Chiropractic Care Center of Southlake, P.C. CurrentSince May 7, 2025 Accepting new patients
Sun Living Health and Wellness Physical Medicine & Rehabilitation Past Accepting new patients
Revivex Healthcare Inc PastSince Mar 24, 2024 Accepting new patients
Jessica R. Judge DC, LLC Past Accepting new patients

Locations

1001 12th Ave
Ste 171
Ft Worth, TX 76104
Phone (817) 576-6500

11180 FM 156
Ste 303
Justin, TX 76247
Phone (940) 648-1700

112 W 4th St
Ste B
Justin, TX 76247
Phone (940) 648-1700

1500 W Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 416-6116

1500 W Southlake Blvd
Southlake, TX 76092
Phone (757) 528-0558

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1083888069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 171",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-576-6500",
            "fax_number": "682-703-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23150 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053025",
            "telephone_number": "310-437-7399",
            "fax_number": "310-437-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "REUBEN",
        "middle_name": "KUAN-CHUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "T2343",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A112622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.