Active NPI
Kenneth Chen
- Internal Medicine Physician
- Pasadena, CA
National Provider Identifier
1265689442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- STUDENT
- Practice address
- 711 Fairmount Ave
Pasadena, CA 91105-3103 - Phone
- (626) 394-2285
- NPI assigned
- Aug 19, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | STUDENT | CA | Primary |
Addresses
Primary practice location
711 Fairmount Ave
Pasadena, CA 91105-3103
Mailing address
350 E del Mar Blvd Apt 201
Pasadena, CA 91101-2752
Phone (626) 394-2285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STUDENT | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1265689442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E DEL MAR BLVD APT 201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012752",
"telephone_number": "626-394-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 FAIRMOUNT AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053103",
"telephone_number": "626-394-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "STUDENT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.