Active NPI
Jimmy Chen, MD
- Family Medicine Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A104106
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A104106 | CA | Primary |
| Family Medicine Physician | 207Q00000X | MD-20164 | HI |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
449 Kapahulu Ave Ste 104
Honolulu, HI 96815-3850
Phone (808) 735-0007
Other practice location 2
64 Bleecker St # 151
New York, NY 10012-2410
Phone (302) 313-1584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104106 | CA | MD | Family Medicine Physician |
| MD-20164 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queen'S Medical Center | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Thaila Ramanujam M D Inc | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| Livwell Health LLC | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| City and County of San Francisco | Past | Accepting new patients |
Locations
8541 E Anderson Dr
Ste 104
Scottsdale, AZ 85255
Phone (323) 351-4233
7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947
211 Quarry Rd
Palo Alto, CA 94304
Phone (650) 498-9000
5820 Stoneridge Mall Rd
Ste 103
Pleasanton, CA 94588
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
449 Kapahulu Ave
Ste 104
Honolulu, HI 96815
Phone (800) 735-0007
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
95-1249 Meheula Pkwy
Ste 187
Mililani, HI 96789
Phone (808) 282-6362
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDJGBA
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Specialist
- Santa Cruz, CA
- NPI 1700056280
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Health Service Clinic/Center
- Honolulu, HI
- NPI 1609498682
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1154539930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "449 Kapahulu Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968153850",
"country_code": "US",
"telephone_number": "808-735-0007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64 Bleecker St # 151",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100122410",
"country_code": "US",
"telephone_number": "302-313-1584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "JIMMY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A104106",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-20164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.