Individual provider Active NPI

Pei Chen, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1205419165
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61906 Issued in CA
Practice address
229 7TH St
San Francisco, CA 94103-4003
Phone
(248) 613-7587
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61906 CA Primary

Addresses

Primary practice location

229 7TH St
San Francisco, CA 94103-4003

Mailing address

229 7TH St
San Francisco, CA 94103-4003
Phone (415) 503-6000

Other identifiers 1

IdentifierTypeStateIssuer
61906OtherCASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://smhcsf.org/

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112000822 CA Order and Referring Only - Physician Assistant 2264802016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61906CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Equity Health Past Accepting new patients
Equity Health Past Accepting new patients
Equity Health Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pchen608749@direct.ochin.org

Organizations & group practices 4

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1205419165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034003",
            "telephone_number": "415-503-6000",
            "fax_number": "415-503-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034003",
            "telephone_number": "248-613-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "PEI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "61906",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://smhcsf.org/",
            "affiliation": "N",
            "address_1": "229 7th St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941034003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.