Active NPI
Nan Chen, M.D.
- Internal Medicine Physician
- Alhambra, CA
National Provider Identifier
1174750897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A150154
- Practice address
- 100 S Raymond Ave
Alhambra, CA 91801-3166 - Phone
- (626) 570-1606
- Fax
- (818) 844-3887
- NPI assigned
- Jun 20, 2009
- Last updated
- Apr 12, 2018
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | T2009014066 | MO | |
| Internal Medicine Physician | 207R00000X | A150154 | CA | Primary |
Addresses
Primary practice location
100 S Raymond Ave
Alhambra, CA 91801-3166
Mailing address
700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263
Phone (818) 839-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150154 | CA | MD | Internal Medicine Physician |
| T2009014066 | MO | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1174750897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N BRAND BLVD STE 1400",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034263",
"telephone_number": "818-839-5200",
"fax_number": "818-844-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S RAYMOND AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013166",
"telephone_number": "626-570-1606",
"fax_number": "818-844-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "NAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-20",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "T2009014066",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A150154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.