William T. Chen MD Inc.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

G42521 Issued in CA

Legal business name

WILLIAM T. CHEN MD INC.

Practice address

2801 Waterman Blvd
Ste 200
Fairfield, CA 94534-2987

Phone

(707) 428-3687

Fax

(707) 422-4327

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

William Tsun Chen, M.D.

Title

Medical Director

Phone

(707) 428-3687

Specialties & licenses 1

Addresses

Other names 1

• Bay Medical Center for Cosmetic & Laser Surgery Doing business as

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1275739773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WATERMAN BLVD",
            "address_2": "STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945342987",
            "telephone_number": "707-428-3687",
            "fax_number": "707-422-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WATERMAN BLVD",
            "address_2": "STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945342987",
            "telephone_number": "707-428-3687",
            "fax_number": "707-422-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T. CHEN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TSUN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "707-428-3687",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "G42521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Medical Center for Cosmetic & Laser Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shakela Francinaee Wilkes
• Preston Wilkins, SUDRC
• Ava Wilkinson
• Johanna Christine Wilkinson
• Jordan Elizabeth Wilkinson, RADT-I
• Aleah Williams
• Alowna Williams
• Bianca Williams
• Charles Lewis Williams
• Constance Marie Williams, AMFT

• Facial Plastic Surgery Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.