Active NPI
Mang Lam Chen, MD
- Urology Physician
- San Francisco, CA
National Provider Identifier
1245434539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A135223
- Practice address
- 45 Castro St Ste 111
San Francisco, CA 94114-1019 - Phone
- (415) 481-3890
- Fax
- (520) 585-6203
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD445375 | PA | |
| Urology Physician | 208800000X | A135223 | CA | Primary |
Addresses
Primary practice location
45 Castro St Ste 111
San Francisco, CA 94114-1019
Mailing address
45 Castro St Ste 111
San Francisco, CA 94114-1010
Phone (415) 481-3890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 23, 2018 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A135223 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Mang Chen MD PC | Urology | Past | Accepting new patients |
Interoperability endpoints
- mchen303831@hisp.ehr.sutterhealth.org
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.
-
- Urology Physician
- San Francisco, CA
- NPI 1770231540
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1245434539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CASTRO ST STE 111",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141010",
"telephone_number": "415-481-3890",
"fax_number": "520-585-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CASTRO ST STE 111",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141019",
"telephone_number": "415-481-3890",
"fax_number": "520-585-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "MANG",
"middle_name": "LAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD445375",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A135223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.