Organization Active NPI

Malcolm S Pond MD Inc & Chiayu Chen MD PTR Cardiology Associates

  • Cardiovascular Disease Physician
  • Riverside, CA
National Provider Identifier
1457314262
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MALCOLM S POND MD INC & CHIAYU CHEN MD PTR CARDIOLOGY ASSOCIATES
Practice address
4500 Brockton Ave Ste 203
Riverside, CA 92501-4006
Phone
(951) 686-3600
Fax
(951) 686-1162
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Chiayu Chen, MD
Title
Managing Partner
Phone
(951) 686-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

4500 Brockton Ave Ste 203
Riverside, CA 92501-4006

Mailing address

4500 Brockton Ave Ste 203
Riverside, CA 92501-4006
Phone (951) 686-3600

Other identifiers 2

IdentifierTypeStateIssuer
GR0057770MedicaidCA
CP4058OtherCARAILROAD MEDICARE

Other names 1

  • Riverside Cardiology Associates Med. Grp. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080715000672 CA Part B Supplier - Clinic/Group Practice 7810069119 Receives reassigned benefits from 2 practitioners
Practice locations: Riverside, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0939550Riverside Cardiology Associates4500 Brockton Ave, Suite 203, Riverside, CA 92501Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1457314262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-686-3600",
            "fax_number": "951-686-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-686-3600",
            "fax_number": "951-686-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM S POND MD INC & CHIAYU CHEN MD PTR CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHIAYU",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "951-686-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP4058",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Cardiology Associates Med. Grp.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Cardiology Associates Med. Grp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.