Active NPI
Travis Justin Chen, MD
- Family Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A196727
- Practice address
- 1221 E Spruce Ave
Fresno, CA 93720-3374 - Phone
- (559) 450-5777
- Fax
- (556) 450-5687
- NPI assigned
- Mar 26, 2021
- Last updated
- Aug 12, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A196727 | CA | Primary |
Addresses
Primary practice location
1221 E Spruce Ave
Fresno, CA 93720-3374
Mailing address
1111 E Spruce Ave Ste 431
Fresno, CA 93720-3330
Phone (559) 450-5611
Other practice location 1
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2000
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
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777
Hospital & facility affiliations
- Saint Agnes Home Health and Hospice
- Omnia Healthcare, LLC
- St Mary's Home Health Services, Inc
- Saint Agnes Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.57 of 100
- Quality
- 63.43
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A196727 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LQMG Medical Group Inc. | Current | Accepting new patients | |
| Saint Agnes Medical Foundation | Family Medicine | Current | Accepting new patients |
Locations
1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
4770 W Herndon Ave
Ste 107
Fresno, CA 93722
Phone (559) 450-6310
Interoperability endpoints
- tchen3578624@direct.trinity-health.org
- travis.chen@hca5.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
dba Saint Agnes Care
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
Family Medicine
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Clovis, CA
- NPI 1154748465
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
-
- Home Health Agency
- Fresno, CA
- NPI 1669560801
-
dba Saint Agnes Home Health and Hospice, LLC.
- Home Health Agency
- Fresno, CA
- NPI 1790873149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1104403914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E SPRUCE AVE STE 431",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203330",
"telephone_number": "559-450-5611",
"fax_number": "559-450-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E SPRUCE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203374",
"telephone_number": "559-450-5777",
"fax_number": "556-450-5687"
}
],
"practiceLocations": [
{
"address_1": "2001 Kingsley Ave",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735148",
"country_code": "US",
"telephone_number": "904-639-2000",
"fax_number": "904-639-2015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "TRAVIS",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-26",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A196727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.