Individual provider Active NPI

Eric M Chen, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1124261722
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A109407 Issued in CA
Practice address
10833 Le Conte Ave
Los Angeles, CA 90095-0001
Phone
(310) 301-6800
NPI assigned
Apr 13, 2009
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A109407 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
Los Angeles, CA 90095-0001

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 301-6800

Other identifiers 1

IdentifierTypeStateIssuer
0A1094070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130624000444 CA Practitioner - Diagnostic Radiology 7113166190 Reassigns benefits to 10 organizations
I20230511002696 WA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7113166190 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Irvine, California College of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
John Muir Magnetic Imaging CenterGroup PAC ID 9032019625, 57 clinicians
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, shared by 6 NPIs, 133 clinicians

Practice addresses (Care Compare)

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 295-1545

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

1745 89TH PL NE
Clyde Hill, WA 98004-3213
Phone (925) 296-7150

177 La Casa Via
Suite 100
Walnut Creek, CA 94598-6101
Phone (925) 296-7150

2410 High School Ave
Concord, CA 94520-1829
Phone (925) 687-5600

2540 E St
Concord, CA 94520-1906
Phone (925) 674-2228

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4107

3100 Summit St
Oakland, CA 94609-3412
Phone (510) 869-8377

533 S 336TH St
Suite C
Federal Way, WA 98003-6329
Phone (253) 661-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109407CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Vantage Radiology & Diagnostic Services, a Professional Services Corp Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
County of Los Angeles CurrentSince Jul 1, 2013 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Los Angeles Radiology Medical Associates, Inc. Diagnostic Radiology CurrentSince Aug 6, 2014 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
Queens North Hawaii Community Hospital Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Epic Care CurrentSince May 1, 2018 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince Mar 1, 2016 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
County of Los Angeles CurrentSince Jul 1, 2013 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Queens University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara CurrentSince May 2, 2022 Accepting new patients
John Muir Trauma Physicians Billing Service Family Medicine CurrentSince Jul 12, 2015 Accepting new patients
County of Santa Clara CurrentSince May 2, 2022 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Bass Medical Group Past Accepting new patients
John Muir Health Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Solano Diagnostics Partners, a Calif Limited Partnership Diagnostic Radiology Past Accepting new patients

Locations (25 of 44)

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

2540 East St
Concord, CA 94520
Phone (925) 674-2228

1480 64th St
Ste 100
Emeryville, CA 94608
Phone (415) 565-6684

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 436-2600

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

15400 National Ave
Ste 200
Los Gatos, CA 95032
Phone (408) 358-8414

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

140 Brookwood Rd
Ste 100
Orinda, CA 94563
Phone (925) 254-9090

400 Taylor Blvd
Ste 201
Pleasant Hill, CA 94523
Phone (510) 783-6865

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

Interoperability endpoints

  • Direct secure messaging: echen185298@santaclaravalley.direct-ci.net

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1124261722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-301-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A109407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1094070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.