Individual provider Active NPI

Tiffany Wuu Chen, D.C.

  • Chiropractor
  • City of Industry, CA
National Provider Identifier
1194192948
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33361 Issued in CA
Practice address
18575 E. Gale Ave, Unit 265
City of Industry, CA 91748
Phone
(626) 623-8684
Fax
(626) 608-2665
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33361 CA Primary

Addresses

Primary practice location

18575 E. Gale Ave, Unit 265
City of Industry, CA 91748

Mailing address

18575 E. Gale Ave, Unit 265
City of Industry, CA 91748
Phone (626) 623-8684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228001537 CA Practitioner - Chiropractic 0143501445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Chiropractic Clinic Inc Chiropractor CurrentSince Oct 5, 2021 Accepting new patients
Chen Eastvale Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

18575 Gale Ave
Ste 265
City of Industry, CA 91748
Phone (626) 623-8684

Organizations & group practices 2

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1194192948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18575 E. GALE AVE, UNIT 265",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-623-8684",
            "fax_number": "626-608-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 E. GALE AVE, UNIT 265",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-623-8684",
            "fax_number": "626-608-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TIFFANY",
        "middle_name": "WUU",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.