Patrick Chen

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A88391 Issued in CA

Legal business name

PATRICK CHEN

Practice address

1550 Superior Ave
Costa Mesa, CA 92627-3653

Phone

(949) 650-0640

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Chu-Shian Chen, M.D.

Title

Associate Medical Director

Phone

(415) 595-9067

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1104970656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SUPERIOR AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SUPERIOR AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273653",
            "telephone_number": "949-650-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK CHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "CHU-SHIAN",
        "authorized_official_title_or_position": "ASSOCIATE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-595-9067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A88391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Pravin Patel, PA-C
• Paths to Recovery, LLC
• Pathways Community Services LLC
• Pathways to Wellness
• Pathways to Wellness, a Psychotherapy Professional Corporation
• Selwyn J Patrick, M.D.
• Tara Eileen Patrick
• Emily W Patterson
• Michele Marie Patton, RDH
• Patricia Ellen Patton, PH.D.

• Health Service Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.