Individual provider Active NPI

Jen Jen Chen, MD

  • Pediatrics Physician
  • Long Beach, CA
National Provider Identifier
1093027328
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A111858 Issued in CA
Practice address
2801 Atlantic Ave
Ground Floor Specialty Office
Long Beach, CA 90806-1701
Phone
(562) 933-8749
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A111858 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Ground Floor Specialty Office
Long Beach, CA 90806-1701

Mailing address

2801 Atlantic Ave
Ground Floor Specialty Office
Long Beach, CA 90806-1701

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326000101 CA Practitioner - Pediatric Medicine 0143547455 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111858CAMDGeneral Practice Dentistry
A111858CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Uci Dept of Pediatrics Pediatrics CurrentSince Feb 1, 2015 Accepting new patients
Pediatric Pulmonary Associates Inc Past Accepting new patients
Jason R Koh DO Inc Past Accepting new patients

Locations

2801 Atlantic Ave
Fl Specialty
Long Beach, CA 90806
Phone (562) 933-8749

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

2801 Atlantic Ave
Fl 3
Long Beach, CA 90806
Phone (562) 933-8743

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Interoperability endpoints

  • Direct secure messaging: jchenmd19509@direct.memorialcare.org

Organizations & group practices 3

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1093027328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "address_2": "GROUND FLOOR SPECIALTY OFFICE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "address_2": "GROUND FLOOR SPECIALTY OFFICE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JEN JEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A111858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.