Active NPI
Phoebe Chen, OD
- Optometrist
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34888
- Practice address
- 9170 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5416 - Phone
- (909) 440-1014
- NPI assigned
- Apr 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618003107 | VA | |
| Optometrist | 152W00000X | 34888 | CA | Primary |
Addresses
Primary practice location
9170 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5416
Mailing address
14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618003107 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Eye Specialists Medical Group, Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Eyecare Specialists Medical Group, Inc | Optometrist | Past | Accepting new patients |
Locations
831 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (951) 769-0079
14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100
12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188
18250 Roscoe Blvd
Ste 120
Northridge, CA 91325
Phone (818) 583-9924
9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014
1845 W Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 363-1450
6377 Riverside Ave
Ste 170
Riverside, CA 92506
Phone (909) 558-2154
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118
494 N Mountain Ave
Upland, CA 91786
Phone (909) 552-7200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pchen@californiaeye.intellechartdirect.net
- phoebe.chen.p1@direct.atlantiseyecare.nextgenshare.com
Organizations & group practices 6
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.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Specialist
- Pasadena, CA
- NPI 1699713099
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Rosemead, CA
- NPI 1942787114
-
- Ophthalmology Physician
- Anaheim, CA
- NPI 1437181930
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1427639426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14726 RAMONA AVE STE 203",
"city": "CHINO",
"state": "CA",
"postal_code": "917105730",
"telephone_number": "626-305-9100",
"fax_number": "626-305-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9170 HAVEN AVE STE 102",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305416",
"telephone_number": "909-440-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "PHOEBE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003107",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34888",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9170 Haven Ave Ste 102",
"city": "Rancho Cucamonga",
"state": "CA",
"country_code": "US",
"postal_code": "917305416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.