NPIMap

Individual provider Active NPI

Lawrence Chen, DPM

  • Podiatrist
  • Los Gatos, CA
National Provider Identifier
1265927115
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5849 Issued in CA
Practice address
555 Knowles Dr Ste 117
Los Gatos, CA 95032-1542
Phone
(408) 292-8800
Fax
(408) 292-8809
NPI assigned
Jun 23, 2018
Reactivated
Jun 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5849 CA
Podiatrist 213E00000X E5849 CA Primary

Addresses

Primary practice location

555 Knowles Dr Ste 117
Los Gatos, CA 95032-1542

Mailing address

555 Knowles Dr Ste 117
Los Gatos, CA 95032-1542
Phone (408) 292-8800

Other identifiers 2

IdentifierTypeStateIssuer
E5849OtherCATHE PODIATRIC MEDICAL BOARD OF CALIFORNIA
XDP046M87616OtherANTHEM BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628003578 CA Practitioner - Podiatry 1759761349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce I Lerman DPM IncGroup PAC ID 6901932664, 5 clinicians

Practice addresses (Care Compare)

555 Knowles Dr
Los Gatos, CA 95032-1542
Phone (408) 292-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1100
Removal of skin lesions1-10
Removal of nail tissue1128
Removal or shaving of skin growth476
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5849CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Past Accepting new patients
James G Elipas DPM PC Foot & Ankle Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lchen188932@santaclaravalley.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1265927115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR STE 117",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321542",
            "telephone_number": "408-292-8800",
            "fax_number": "408-292-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR STE 117",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321542",
            "telephone_number": "408-292-8800",
            "fax_number": "408-292-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-23",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "deactivation_date": "2018-08-10",
        "reactivation_date": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5849",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE PODIATRIC MEDICAL BOARD OF CALIFORNIA",
            "identifier": "E5849",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "XDP046M87616",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.