Individual provider Active NPI

Jennifer Perkins Chen, D.D.S., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Francisco, CA
National Provider Identifier
1194967174
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
A122340 Issued in CA
Practice address
707 Parnassus Ave
Room D-1201
San Francisco, CA 94143
Phone
(415) 476-1316
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56523 CA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X A122340 CA Primary

Addresses

Primary practice location

707 Parnassus Ave
Room D-1201
San Francisco, CA 94143

Mailing address

533 Parnassus Ave
Room Ub-08
San Francisco, CA 94143
Phone (415) 476-6368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140522001449 CA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5496978330 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of California, Davis School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Oral and Maxillofacial SurgeryGroup PAC ID 1254223126, 6 clinicians

Practice addresses (Care Compare)

513 Parnassus Ave
San Francisco, CA 94143-2205
Phone (415) 476-9126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122340CAMDMarriage & Family Therapist
56523CAMDDentist
A122340CAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Mar 22, 2014 Accepting new patients
University of California SFGH Medical Group CurrentSince Sep 1, 2018 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Oral & Maxillofacial Surgery CurrentSince Sep 1, 2018 Accepting new patients
UCSF Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery CurrentSince Jun 30, 2015 Accepting new patients
County of San Mateo CurrentSince Mar 22, 2014 Accepting new patients

Locations

1001 Potrero Ave
Rm 3A32
San Francisco, CA 94110
Phone (628) 206-8291

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

707 Parnassus Ave
Rm D1201
San Francisco, CA 94143
Phone (415) 476-1316

513 Parnassus Ave
Rm S738
San Francisco, CA 94143
Phone (415) 476-3242

1001 Potrero Ave
Rm 1N
San Francisco, CA 94110
Phone (628) 206-8104

533 Parnassus Ave
Rm UB8
San Francisco, CA 94143

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: jperkinschen13895@direct-ucsfmedicalcenter.org

Organizations & group practices 6

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1194967174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PARNASSUS AVE",
            "address_2": "ROOM UB-08",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "address_2": "ROOM D-1201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS CHEN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56523",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A122340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.