Individual provider Active NPI

Luan Chen

  • Counselor
  • Baldwin Park, CA
National Provider Identifier
1417530254
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0M91106 Issued in CA
Practice address
4153 Center St
Baldwin Park, CA 91706-2923
Phone
(626) 244-6575
NPI assigned
Apr 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0M91106 CA Primary

Addresses

Primary practice location

4153 Center St
Baldwin Park, CA 91706-2923

Mailing address

4153 Center St
Baldwin Park, CA 91706-2923
Phone (626) 244-6575

Other identifiers 1

IdentifierTypeStateIssuer
NOOtherNO

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Wfgluanchen@gmail.com
Other URL Wfgluanchen

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0M91106CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1417530254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 CENTER ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062923",
            "telephone_number": "626-244-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 CENTER ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062923",
            "telephone_number": "626-244-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "0M91106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO",
            "identifier": "NO",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wfgluanchen@gmail.com",
            "affiliation": "N",
            "address_1": "4153 Center St",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917062923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wfgluanchen",
            "affiliation": "N",
            "address_1": "4153 Center St",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917062923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.