Individual provider Active NPI

Kuancheng Chen, MD

  • Internal Medicine Physician
  • Arcadia, CA
National Provider Identifier
1235125790
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75056 Issued in CA
Practice address
622 W Duarte Rd Ste 306
Arcadia, CA 91007-9282
Phone
(626) 821-9075
Fax
(626) 821-9076
NPI assigned
Sep 21, 2005
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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 G75056 CA Primary

Addresses

Primary practice location

622 W Duarte Rd Ste 306
Arcadia, CA 91007-9282

Mailing address

622 W Duarte Rd
#205
Arcadia, CA 91007-7606
Phone (626) 821-9075

Other identifiers 1

IdentifierTypeStateIssuer
00G750560MedicaidCA

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
I20100913000292 CA Practitioner - Internal Medicine 2163547308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E Lin, DO, Inc.Group PAC ID 3375920549, 3 clinicians

Practice addresses (Care Compare)

1850 S Azusa Ave
Suite 201
Hacienda Heights, CA 91745-6854
Phone (626) 965-8202

622 W Duarte Rd
Suite 306
Arcadia, CA 91007-9282
Phone (626) 965-8202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75056CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kuancheng Chen MD Corp Internal Medicine CurrentSince May 3, 2010 Accepting new patients
E Lin, DO, Inc. CurrentSince Jan 1, 2025 Accepting new patients

Locations

622 W Duarte Rd
Ste 306
Arcadia, CA 91007
Phone (626) 821-9075

622 W Duarte Rd
Ste 205
Arcadia, CA 91007
Phone (626) 821-9075

1850 S Azusa Ave
Ste 201
Hacienda Heights, CA 91745
Phone (626) 913-2383

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1235125790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "address_2": "#205",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077606",
            "telephone_number": "626-821-9075",
            "fax_number": "626-821-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 306",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079282",
            "telephone_number": "626-821-9075",
            "fax_number": "626-821-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KUANCHENG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G750560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.