Ricky Chen, D.C. – Chiropractor in Artesia, CA

Key facts

NPI: 1154328680
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: DC21268 (CA)
Practice address: 17726 Pioneer Blvd Ste B
Artesia, CA 90701-4061
Phone: (562) 924-8882
Fax: (562) 924-7511
NPI assigned: Jun 30, 2005
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
DC21268	CA	MD	Chiropractor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	DC21268	CA	Yes

Addresses

Primary practice location

17726 Pioneer Blvd Ste B
Artesia, CA 90701-4061

Mailing address

P.O. Box 752
Artesia, CA 90702-0752
Phone (562) 924-8882

Other identifiers

Identifier	Type	State	Issuer
DC0212680	Medicaid	CA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2015.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1154328680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 752",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907020752",
            "telephone_number": "562-924-8882",
            "fax_number": "562-924-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17726 PIONEER BLVD STE B",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014061",
            "telephone_number": "562-924-8882",
            "fax_number": "562-924-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "RICKY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0212680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

All providers in Artesia, CA · Chiropractor in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.