Organization Active NPI

Sophia T. Chen, M.D. a Professional Corporation

  • Ophthalmology Physician
  • Oakland, CA
National Provider Identifier
1437558202
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A82768 Issued in CA
Legal business name
SOPHIA T. CHEN, M.D. A PROFESSIONAL CORPORATION
Practice address
345 9TH St
Suite 204
Oakland, CA 94607-6522
Phone
(510) 350-8741
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Sophia T Chen, M.D.NPI 1033183934
Title
Physician
Phone
(510) 350-8741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A82768 CA Primary

Addresses

Primary practice location

345 9TH St
Suite 204
Oakland, CA 94607-6522

Mailing address

345 9TH St
Suite 204
Oakland, CA 94607-6522
Phone (510) 350-8741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141017002193 CA Part B Supplier - Clinic/Group Practice 8729209655 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1437558202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 9TH ST",
            "address_2": "SUITE 204",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076522",
            "telephone_number": "510-350-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 9TH ST",
            "address_2": "SUITE 204",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076522",
            "telephone_number": "510-350-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA T. CHEN, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "510-350-8741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A82768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.