Individual provider Active NPI

Sandy Li-Fan Chen, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1285624213
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A86645 Issued in CA
Practice address
3239 Stevens Creek Blvd
San Jose, CA 95117-1145
Phone
(408) 502-6188
Fax
(888) 456-8575
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A86645 CA Primary

Addresses

Primary practice location

3239 Stevens Creek Blvd
San Jose, CA 95117-1145

Mailing address

3239 Stevens Creek Blvd
San Jose, CA 95117-1145
Phone (408) 502-6188

Other identifiers 2

IdentifierTypeStateIssuer
A86645OtherCALICENSE
ZZZ09989ZOtherCABS GROUP PIN

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
I20040909001468 CA Practitioner - Ophthalmology 8729054705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Davis School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander C Lee MD a Medical CorporationGroup PAC ID 8426242652, 2 clinicians

Practice addresses (Care Compare)

3239 Stevens Creek Blvd
San Jose, CA 95117-1145
Phone (408) 502-6188

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86645CAMDMarriage & Family Therapist
A86645CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Hospital Past Accepting new patients
Sequoia Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: schen18225@icare.elcaminohospital.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1285624213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 STEVENS CREEK BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171145",
            "telephone_number": "408-502-6188",
            "fax_number": "888-456-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 STEVENS CREEK BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171145",
            "telephone_number": "408-502-6188",
            "fax_number": "888-456-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SANDY",
        "middle_name": "LI-FAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A86645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A86645",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GROUP  PIN",
            "identifier": "ZZZ09989Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.