Active NPI
Janet Chen, M.D,
- Ophthalmology Physician
- Pismo Beach, CA
National Provider Identifier
1366404469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G69459
- Practice address
- 921 Oak Park Blvd
Suite 201B
Pismo Beach, CA 93449-3264 - Phone
- (805) 489-8286
- Fax
- (805) 489-7376
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | G69459 | CA | |
| Ophthalmology Physician | 207W00000X | G69459 | CA | Primary |
Addresses
Primary practice location
921 Oak Park Blvd
Suite 201B
Pismo Beach, CA 93449-3264
Mailing address
921 Oak Park Blvd
Suite 201B
Pismo Beach, CA 93449-3264
Phone (805) 489-8286
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180032550 | Other | CA | RAILROAD MEDICARE |
| 00G694590 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Columbia University College of Physicians and Surgeons, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
921 Oak Park Blvd
Suite 201B
Pismo Beach, CA 93449-3400
Phone (805) 489-8286
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69459 | CA | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Community Care | Past | Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Pismo Beach, CA
- NPI 1336100866
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1366404469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 OAK PARK BLVD",
"address_2": "SUITE 201B",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493264",
"telephone_number": "805-489-8286",
"fax_number": "805-489-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 OAK PARK BLVD",
"address_2": "SUITE 201B",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493264",
"telephone_number": "805-489-8286",
"fax_number": "805-489-7376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JANET",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "CA",
"license": "G69459",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G69459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180032550",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G694590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.