Active NPI
Iun-Iu A. Chen, D.O.
- Family Medicine Physician
- Petaluma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 252070
- Practice address
- 1179 N McDowell Blvd
Petaluma, CA 94954-0002 - Phone
- (707) 559-7500
- Fax
- (707) 559-7620
- NPI assigned
- Jun 4, 2012
- Last updated
- Jul 1, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 252070 | MA | Primary |
Addresses
Primary practice location
1179 N McDowell Blvd
Petaluma, CA 94954-0002
Mailing address
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
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
- Rutgers New Jersey Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
5900 State Farm Dr
Suite 200
Rohnert Park, CA 94928-2149
Phone (707) 559-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14310 | CA | MD | Chiropractor |
| 252070 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petaluma Health Center, Inc | Current | Accepting new patients | |
| Petaluma Health Center Inc | Current | Accepting new patients | |
| Petaluma Health Center Inc | Current | Accepting new patients | |
| SRM Alliance Hospital Services | Past | Accepting new patients | |
| Providence Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
1179 N McDowell Blvd
Petaluma, CA 94954
5900 State Farm Dr
Ste 200
Rohnert Park, CA 94928
Phone (707) 559-7600
Interoperability endpoints
- ichen613911@direct.ochin.org
Organizations & group practices 5
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 Petaluma Health Center
- Federally Qualified Health Center (FQHC)
- Petaluma, CA
- NPI 1588656268
-
dba Rohnert Park Health Center
- Federally Qualified Health Center (FQHC)
- Rohnert Park, CA
- NPI 1669870739
-
dba Casa Grande High School Health Clinic
- Federally Qualified Health Center (FQHC)
- Petaluma, CA
- NPI 1437918406
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
dba Petaluma Valley Hospital
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1770703886
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Petaluma Valley Hospital
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1114288412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546559",
"telephone_number": "707-559-7500",
"fax_number": "707-559-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949540002",
"telephone_number": "707-559-7500",
"fax_number": "707-559-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "IUN-IU",
"middle_name": "A.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "252070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.