Xinke Chen MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A86771 Issued in CA

Legal business name

XINKE CHEN MD, INC.

Practice address

770 Magnolia Ave Ste 2G
Corona, CA 92879-3122

Phone

(951) 907-5386

Fax

(951) 371-5681

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Xinke ChenNPI 1780634857

Title

President

Phone

(951) 371-5681

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xinke Chen, MD

  • Hospitalist Physician
  • Corona, CA
  • NPI 1780634857
  Medicare reassignment Authorized official
• Preeti Jamarai

  • Nurse Practitioner
  • Fontana, CA
  • NPI 1336922640
  Medicare reassignment NPD

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1356670905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "951-907-5386",
            "fax_number": "951-371-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE STE 2G",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793122",
            "telephone_number": "951-907-5386",
            "fax_number": "951-371-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XINKE CHEN MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "XINKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-371-5681",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A86771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356670905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jean Wygal
• Talia Wyles
• Aidaly Xicotencatl
• Zhang Xie, L.AC.
• Xin Du, a Medical Corp
• Lisa Kaye Xitco
• Jenny Xochitiotizi
• Wilmer Yabar, D.D.S
• Alianna Yabut
• Emile Ignatius Yacoub, DPT OCS CSCS

• Internal Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.