Individual provider Active NPI

Jessica Low Chen, M.D.

  • Ophthalmology Physician
  • Palo Alto, CA
National Provider Identifier
1417111097
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME109514 Issued in FL
Practice address
1805 El Camino Real
Suite 100
Palo Alto, CA 94306
Phone
(650) 324-9200
Fax
(650) 326-5793
NPI assigned
Jul 14, 2008
Last updated
Sep 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ML60019810 WA
Ophthalmology Physician 207W00000X ME109514 FL Primary

Addresses

Primary practice location

1805 El Camino Real
Suite 100
Palo Alto, CA 94306

Mailing address

1805 El Camino Real
Suite 100
Palo Alto, CA 94306
Phone (650) 324-9200

Other names 1

  • Dr. Jessica Yee-Mun Low Former name

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
I20120608000434 CA Practitioner - Ophthalmology 9436328978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Tayeri M D IncGroup PAC ID 3173527421, 5 clinicians

Practice addresses (Care Compare)

1805 El Camino Real
Suite 100
Palo Alto, CA 94306-1163
Phone (650) 324-9200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML60019810WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Tayeri M D Inc Ophthalmology CurrentSince Jul 23, 2012 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

14777 Los Gatos Blvd
Ste 201
Los Gatos, CA 95032
Phone (408) 243-2020

1805 El Camino Real
Ste 10
Palo Alto, CA 94306
Phone (650) 324-9200

1805 El Camino Real
Ste 100
Palo Alto, CA 94306
Phone (650) 324-9200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1417111097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-324-9200",
            "fax_number": "650-326-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-324-9200",
            "fax_number": "650-326-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JESSICA",
        "middle_name": "LOW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "ML60019810",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME109514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LOW",
            "middle_name": "YEE-MUN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.