Active NPI
Charles T Chen, M.D.
- Internal Medicine Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A63693
- Practice address
- 236 Cajon St
Redlands, CA 92373-5202 - Phone
- (909) 793-3311
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A63693 | CA | Primary |
Addresses
Primary practice location
236 Cajon St
Redlands, CA 92373-5202
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
10393 Enterprise Dr
Redlands, CA 92374-4525
Phone (909) 799-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A636930 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63693 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Internal Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Centers for Family Medicine GP | Internal Medicine | Current | Accepting new patients |
| Cassidy Medical Group Inc. | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
81 Highland Springs Ave
Beaumont, CA 92223
Phone (909) 558-3016
81 Highland Springs Ave
Ste 200
Beaumont, CA 92223
Phone (909) 389-1302
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
145 Thunder Dr
#1182
Vista, CA 92083
Phone (760) 941-9002
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- cchen9324@epiclp.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768694400000",
"number": "1124050463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 CAJON ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735202",
"telephone_number": "909-793-3311"
}
],
"practiceLocations": [
{
"address_1": "10393 Enterprise Dr",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923744525",
"country_code": "US",
"telephone_number": "909-799-1818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "CHARLES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2026-01-18",
"certification_date": "2026-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A63693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A636930",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.