Individual provider Active NPI

Jong L. Chen, M.D.

  • Specialist
  • Sacramento, CA
National Provider Identifier
1346313228
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C-37462 Issued in CA
Practice address
3941 J St
Suite 250
Sacramento, CA 95819-3624
Phone
(916) 733-6800
Fax
(916) 733-6811
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C-37462 CA Primary

Addresses

Primary practice location

3941 J St
Suite 250
Sacramento, CA 95819-3624

Mailing address

3941 J St
Suite 250
Sacramento, CA 95819-3624
Phone (916) 733-6800

Other identifiers 1

IdentifierTypeStateIssuer
00C374621MedicaidCA

Other names 1

  • Jong Liang Chen Other name

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
I20120125000675 CA Practitioner - Urology 7618144064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-37462CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Medical Group CurrentSince Jun 25, 1985 Accepting new patients

Locations

3941 J St
Ste 250
Sacramento, CA 95819
Phone (916) 290-7561

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1346313228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193624",
            "telephone_number": "916-733-6800",
            "fax_number": "916-733-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193624",
            "telephone_number": "916-733-6800",
            "fax_number": "916-733-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JONG",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C-37462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C374621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONG",
            "last_name": "CHEN",
            "middle_name": "LIANG",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.