Individual provider Active NPI

Phoebe Chen, OD

  • Optometrist
  • Rancho Cucamonga, CA
National Provider Identifier
1427639426
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34888 Issued in CA
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715002317 CA Practitioner - Optometry 2264817436 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003107VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
California Eye Specialists Medical Group, Inc Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 5, 2026 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

  • Direct secure messaging: pchen@californiaeye.intellechartdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.