Individual provider Active NPI

Jaw-Huei Chen, MD

  • Internal Medicine Physician
  • Hacienda Heights, CA
National Provider Identifier
1194885384
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A31787 Issued in CA
Practice address
1850 S Azusa Ave
Suite 205
Hacienda Heights, CA 91745-6813
Phone
(626) 964-2880
Fax
(626) 964-2834
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A31787 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave
Suite 205
Hacienda Heights, CA 91745-6813

Mailing address

1850 S Azusa Ave
Suite 205
Hacienda Heights, CA 91745-6813
Phone (626) 964-2880

Other identifiers 1

IdentifierTypeStateIssuer
00A317870MedicaidCA

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

LicenseStateTypeSpecialty
A31787CAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1194885384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 205",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-964-2880",
            "fax_number": "626-964-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 205",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-964-2880",
            "fax_number": "626-964-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JAW-HUEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A31787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A317870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.