Active NPI
Carol R Chen, MD
- Child & Adolescent Psychiatry Physician
- Beverly Hills, CA
National Provider Identifier
1376992370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A151001
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A151001 | CA | MD | Specialist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.