Active NPI
Yung Cheng Joseph Chen, M.D.
- Psychiatry Physician
- Cerritos, CA
National Provider Identifier
1265428817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A41376
- Practice address
- 17315 Studebaker Rd Ste 130
Cerritos, CA 90703-2564 - Phone
- (652) 810-0553
- Fax
- (562) 860-6283
- NPI assigned
- Sep 20, 2005
- Last updated
- Jan 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A41376 | CA | Primary |
Addresses
Primary practice location
17315 Studebaker Rd Ste 130
Cerritos, CA 90703-2564
Mailing address
17315 Studebaker Rd Ste 130
Cerritos, CA 90703-2564
Phone (652) 810-0553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A413760 | Other | CA | BLUE SHIELD |
| 00A413760 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090408000402 | CA | Practitioner - Psychiatry | 4385705516 | Practice locations: Cerritos, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17315 Studebaker Rd
Suite 130
Cerritos, CA 90703-2564
Phone (714) 896-7504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Serene Care Inc | Past | Accepting new patients | |
| Yung Cheng Joseph Chen MD | Psychiatry | Past | Accepting new patients |
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.
-
- Community Based Hospice Care Agency
- Van Nuys, CA
- NPI 1396350468
-
- Psychiatry Physician
- Cerritos, CA
- NPI 1598826513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1265428817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17315 STUDEBAKER RD STE 130",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032564",
"telephone_number": "652-810-0553",
"fax_number": "562-860-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17315 STUDEBAKER RD STE 130",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032564",
"telephone_number": "652-810-0553",
"fax_number": "562-860-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "YUNG CHENG JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A41376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A413760",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A413760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.