Individual provider Active NPI

Jarreau Chen, M.D.

  • Pediatric Endocrinology Physician
  • Madera, CA
National Provider Identifier
1205276458
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
155889 Issued in CA
Practice address
9300 Valley Childrens PL # Fe10
Madera, CA 93636-8762
Phone
(559) 353-5941
Fax
(559) 353-5945
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 286033 NY
Pediatric Endocrinology Physician 2080P0205X 286033 NY
Pediatric Endocrinology Physician 2080P0205X 155889 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL # Fe10
Madera, CA 93636-8762

Mailing address

12500 Stockday Hwy
Bakersfield, CA 93314
Phone (616) 564-3300

Other practice location 1

12500 Stockdale Hwy
Bakersfield, CA 93314
Phone (661) 564-3300

Other identifiers 1

IdentifierTypeStateIssuer
1205276458MedicaidCA

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
I20190622000313 CA Practitioner - Pediatric MedicinePractitioner - Endocrinology 2466786611 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155889CAMDPediatric Endocrinology Physician
286033NYMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children'S Medical Group Pediatrics CurrentSince Jul 22, 2019 Accepting new patients
Valley Children'S Hospital Past Accepting new patients

Locations

12500 Stockdale Hwy
Bakersfield, CA 93314
Phone (661) 564-3300

9300 Valley Childrens Pl
#10
Madera, CA 93636
Phone (559) 353-5941

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

1310 Las Tablas Rd
Ste 204
Templeton, CA 93465
Phone (805) 434-0333

220 S Akers St
Ste A
Visalia, CA 93291
Phone (559) 713-1600

Interoperability endpoints

  • Direct secure messaging: jchen15793@valleychildrens-prd.direct-ci.com

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1205276458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 STOCKDAY HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93314",
            "telephone_number": "616-564-3300",
            "fax_number": "616-564-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # FE10",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368762",
            "telephone_number": "559-353-5941",
            "fax_number": "559-353-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 Stockdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93314",
            "country_code": "US",
            "telephone_number": "661-564-3300",
            "fax_number": "661-564-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JARREAU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "286033",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "286033",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "155889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205276458",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.