Individual provider Active NPI

Cindy I-Hsin Chen, M.D.

  • Family Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1144344904
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63402 Issued in CA
Practice address
11180 Warner Ave Ste 455
Fountain Valley, CA 92708-7505
Phone
(949) 552-7546
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63402 CA Primary

Addresses

Primary practice location

11180 Warner Ave Ste 455
Fountain Valley, CA 92708-7505

Mailing address

11180 Warner Ave Ste 455
Fountain Valley, CA 92708-7505
Phone (949) 552-7546

Other practice location 1

4920 Barranca Pkwy Ste A
Irvine, CA 92604-4672
Phone (949) 552-7546

Other practice location 2

7631 Wyoming St Ste 107
Westminster, CA 92683-3904
Phone (714) 373-4555

Other practice location 3

12555 Garden Grove Blvd Ste 406
Garden Grove, CA 92843-1904
Phone (714) 373-4555

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141206000424 CA Practitioner - Dermatology 8820243207 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Rehab a Medical Group Inc. CurrentSince Jan 1, 2022 Accepting new patients
Oc Rehab, a Medical Group, Inc Current Accepting new patients
Cindy Chen, MD, Apc Dermatology Past Accepting new patients

Locations

12555 Garden Grove Blvd
Ste 406
Garden Grove, CA 92843
Phone (714) 373-4555

7631 Wyoming St
Ste 107
Westminster, CA 92683
Phone (714) 373-4555

15201 Beach Blvd
Ste A
Westminster, CA 92683
Phone (714) 373-4555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1144344904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 455",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087505",
            "telephone_number": "949-552-7546",
            "fax_number": "949-552-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 455",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087505",
            "telephone_number": "949-552-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4920 Barranca Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926044672",
            "country_code": "US",
            "telephone_number": "949-552-7546",
            "fax_number": "949-552-7547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7631 Wyoming St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926833904",
            "country_code": "US",
            "telephone_number": "714-373-4555",
            "fax_number": "949-552-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12555 Garden Grove Blvd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928431904",
            "country_code": "US",
            "telephone_number": "714-373-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CINDY",
        "middle_name": "I-HSIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.