Individual provider Active NPI

James Yng Jen Chen, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1265495691
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A86644 Issued in CA
Practice address
11513 Trailbrook LN
San Diego, CA 92128-6340
Phone
(619) 955-7783
Fax
(619) 793-4898
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 A86644 CA Primary

Addresses

Primary practice location

11513 Trailbrook LN
San Diego, CA 92128-6340

Mailing address

11513 Trailbrook LN
San Diego, CA 92128-6340
Phone (619) 955-7783

Other practice location 1

4094 4th Ave
San Diego, CA 92103-2143
Phone (619) 515-2545

Other identifiers 1

IdentifierTypeStateIssuer
00A866440MedicaidCA

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
I20051004001114 CA Practitioner - Internal Medicine 7618902081 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86644CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego Inc Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Jun 15, 2017 Accepting new patients
Scripps Health Internal Medicine Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 30, 2010 Accepting new patients
Family Health Centers of San Diego Inc Current Accepting new patients
Scripps Health CurrentSince Jul 22, 2006 Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Feb 27, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 27, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Internal Medicine Current Accepting new patients
Scripps Health CurrentSince Jul 22, 2006 Accepting new patients
Scripps Health Current Accepting new patients
Home Physicians Medical Group, Inc. Internal Medicine Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jchen27231@scrippshlth.medalliesdirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1265495691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11513 TRAILBROOK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921286340",
            "telephone_number": "619-955-7783",
            "fax_number": "619-793-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11513 TRAILBROOK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921286340",
            "telephone_number": "619-955-7783",
            "fax_number": "619-793-4898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4094 4th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032143",
            "country_code": "US",
            "telephone_number": "619-515-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JAMES",
        "middle_name": "YNG JEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A86644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A866440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.