Individual provider Active NPI

Jimmy Chen, MD

  • Family Medicine Physician
  • Stanford, CA
National Provider Identifier
1154539930
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A104106 Issued in CA
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

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, HI2 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
I20090820000717 CA Practitioner - Family Practice 5597819870 Reassigns benefits to 1 organization
I20190717001816 HI Practitioner - Family Practice 5597819870 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104106CAMDFamily Medicine Physician
MD-20164HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen'S Medical Center Current Accepting new patients
Stanford Health Care CurrentSince Dec 1, 2010 Accepting new patients
Straub Clinic & Hospital CurrentSince Jul 1, 2019 Accepting new patients
Queens University Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Straub Clinic & Hospital CurrentSince Jul 1, 2019 Accepting new patients
Stanford Health Care CurrentSince Dec 1, 2010 Accepting new patients
Stanford Health Care Current Accepting new patients
Thaila Ramanujam M D Inc CurrentSince May 1, 2026 Accepting new patients
The Queen'S Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Livwell Health LLC CurrentSince Jul 1, 2025 Accepting new patients
The Queens Medical Center CurrentSince Mar 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.