Individual provider Active NPI

Carol R Chen, MD

  • Child & Adolescent Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1376992370
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A151001 Issued in CA
Practice address
9777 Wilshire Blvd Ste 707
Beverly Hills, CA 90212-1907
Phone
(310) 276-4003
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A151001 CA
Psychiatry Physician 2084P0800X A151001 CA
Child & Adolescent Psychiatry Physician 2084P0804X A151001 CA Primary

Addresses

Primary practice location

9777 Wilshire Blvd Ste 707
Beverly Hills, CA 90212-1907

Mailing address

9777 Wilshire Blvd Ste 707
Beverly Hills, CA 90212-1907
Phone (310) 276-4003

Other practice location 1

3727 W 6th St Ste 402
Los Angeles, CA 90020-5112
Phone (213) 365-7400

Other practice location 2

9353 Valley Blvd
Rosemead, CA 91770-1923
Phone (626) 285-5141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 3, 2025 through Apr 3, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151001CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1376992370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 707",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121907",
            "telephone_number": "310-276-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 707",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121907",
            "telephone_number": "310-276-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 W 6th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900205112",
            "country_code": "US",
            "telephone_number": "213-365-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9353 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701923",
            "country_code": "US",
            "telephone_number": "626-285-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CAROL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A151001",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A151001",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A151001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.