Individual provider Active NPI

Kenny Chen, MSED, MSN, FNP-BC

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1437566619
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002625 Issued in CA
Practice address
1670 E 120TH St
Los Angeles, CA 90059-3026
Phone
(424) 338-1000
NPI assigned
Jul 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 663435 NY
Registered Nurse 163W00000X 95034102 CA
Family Nurse Practitioner 363LF0000X 339455 NY
Family Nurse Practitioner 363LF0000X 95002625 CA Primary

Addresses

Primary practice location

1670 E 120TH St
Los Angeles, CA 90059-3026

Mailing address

1670 E 120TH St
Los Angeles, CA 90059-3026
Phone (424) 338-1000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202001057 CA Practitioner - Nurse Practitioner 0648575597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Los AngelesGroup PAC ID 1850296534, shared by 7 NPIs, 395 clinicians
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

1108 N Oleander Ave
Compton, CA 90222-4041
Phone (310) 763-2244

12021 S Wilmington Ave
Room 1059
Los Angeles, CA 90059-3019

2090 Westwood Blvd
Los Angeles, CA 90025-6329
Phone (213) 814-4070

2195 Sepulveda Blvd
Torrance, CA 90501-4616
Phone (424) 337-1600

2300 Wilshire Blvd
Suite 104
Santa Monica, CA 90403-5863
Phone (424) 416-7900

235 E 17TH St
Costa Mesa, CA 92627-3831
Phone (949) 688-2010

242 S Robertson Blvd
Beverly Hills, CA 90211-2811
Phone (310) 652-2300

2613 Pacific Coast Hwy
Torrance, CA 90505-7037
Phone (424) 625-0220

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

3932 Long Beach Blvd
Suite a
Long Beach, CA 90807-2615
Phone (562) 855-2800

395 Silver Spur Rd
Rolling Hills Estates, CA 90274-3569
Phone (424) 323-3500

4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355

4200 E Pacific Coast
Suite 102
Long Beach, CA 90804-2107
Phone (562) 661-9100

4730 Lincoln Blvd
Marina del Rey, CA 90292-6902
Phone (424) 352-0371

5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883

5717 Melrose Ave
Los Angeles, CA 90038-3807
Phone (323) 957-2273

7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333

725 S Pacific Coast Hwy
Redondo Beach, CA 90277-4226
Phone (424) 296-3100

831 S State College Blvd
Anaheim, CA 92806-4613
Phone (714) 533-2273

8985 Venice Blvd
Suite a 3B
Los Angeles, CA 90034-3344
Phone (424) 502-1020

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034102CAMDRegistered Nurse
663435NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Aug 10, 2025 Accepting new patients
County of Los Angeles CurrentSince Nov 1, 2016 Accepting new patients
County of Los Angeles Current Accepting new patients
Exer Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
County of Los Angeles CurrentSince Nov 1, 2016 Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

2968 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 522-9500

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1437566619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593026",
            "telephone_number": "424-338-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593026",
            "telephone_number": "424-338-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KENNY",
        "credential": "MSED, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-19",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "663435",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95034102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339455",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.