Individual provider Active NPI

Max Chen, M.D.

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1285750356
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A78887 Issued in CA
Practice address
105 Durian St Ste B
Vista, CA 92083-6230
Phone
(760) 631-5000
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 A78887 CA Primary

Addresses

Primary practice location

105 Durian St Ste B
Vista, CA 92083-6230

Mailing address

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000

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
I20050701000566 CA Practitioner - Internal Medicine 7214973031 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78887CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince May 2, 2022 Accepting new patients
Martin C Fineman MD Med Corp Internal Medicine CurrentSince Jul 2, 2014 Accepting new patients
Neighborhood Healthcare CurrentSince May 2, 2022 Accepting new patients
San Diego American Indian Health Center Internal Medicine CurrentSince Aug 5, 2013 Accepting new patients
Home Excel Physician'S Group PastSince Feb 1, 2008 Accepting new patients
Home Physicians Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

4371 Latham St
#200
Riverside, CA 92501

2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158

2602 1st Ave
Ste 105
San Diego, CA 92103

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD
  • FHIR API: https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1285750356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218",
            "telephone_number": "760-631-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DURIAN ST STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836230",
            "telephone_number": "760-631-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MAX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.