Individual provider Active NPI

Peter T Chen, M.D.

  • Ophthalmology Physician
  • West Covina, CA
National Provider Identifier
1326106253
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G47664 Issued in CA
Practice address
1250 S Sunset Ave Ste 205
West Covina, CA 91790-3963
Phone
(626) 960-3741
NPI assigned
Dec 4, 2006
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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 G47664 CA Primary

Addresses

Primary practice location

1250 S Sunset Ave Ste 205
West Covina, CA 91790-3963

Mailing address

1250 S Sunset Ave Ste 205
West Covina, CA 91790-3963
Phone (626) 960-3741

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
I20120222000143 CA Practitioner - Ophthalmology 4082872056 Practice locations: West Covina, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G47664CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philip Ngai MD, Incorporated Ophthalmology PastSince Jul 15, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1326106253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE STE 205",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903963",
            "telephone_number": "626-960-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE STE 205",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903963",
            "telephone_number": "626-960-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "PETER",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G47664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.