Individual provider Active NPI

Yung Chen, MD

  • Physical Medicine & Rehabilitation Physician
  • San Mateo, CA
National Provider Identifier
1386601623
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A54788 Issued in CA
Practice address
101 S San Mateo Dr Ste 301
San Mateo, CA 94401-3844
Phone
(650) 558-1802
Fax
(650) 558-1806
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A54788 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr Ste 301
San Mateo, CA 94401-3844

Mailing address

101 S San Mateo Dr Ste 301
San Mateo, CA 94401-3844
Phone (650) 558-1802

Other identifiers 1

IdentifierTypeStateIssuer
A54788OtherCABOARD

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
I20040223001253 CA Practitioner - Interventional Pain ManagementPractitioner - Orthopedic SurgeryPractitioner - Physical Medicine and Rehabilitation 2062308539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Baylor College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 301
San Mateo, CA 94401-3844

200 N San Mateo Dr
Unit a
San Mateo, CA 94401-2609

334 N San Mateo Dr
San Mateo, CA 94401-2514
Phone (650) 558-1802

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score
23.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo Spine Center a Medical Corporation CurrentSince May 20, 2009 Accepting new patients
Kevin S Finnesey MD a Professional Corporation Past Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients

Locations

334 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 342-4557

101 S San Mateo Dr
Ste 301
San Mateo, CA 94401
Phone (650) 435-8211

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1386601623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 301",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-558-1802",
            "fax_number": "650-558-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 301",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-558-1802",
            "fax_number": "650-558-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A54788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD",
            "identifier": "A54788",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.