Individual provider Active NPI

Carlitos Chen

  • Plastic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1487272647
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
58795 Issued in CA
Practice address
950 S Arroyo Pkwy Ste 250
Pasadena, CA 91105-3930
Phone
(626) 449-4859
Fax
(626) 403-0311
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 58795 CA
Plastic Surgery Physician 208200000X 58795 CA Primary

Addresses

Primary practice location

950 S Arroyo Pkwy Ste 250
Pasadena, CA 91105-3930

Mailing address

10 W Bay State St Unit 684
Alhambra, CA 91802-2828

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
I20210107000707 CA Practitioner - Physician Assistant 3173936358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Plastic Surgery IncGroup PAC ID 4789867243, 5 clinicians

Practice addresses (Care Compare)

950 S Arroyo Pkwy
FL 3
Pasadena, CA 91105-3932
Phone (626) 449-4859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58795CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Surgical Specialists, a Professional Corporation Multi-Specialty CurrentSince Jul 17, 2022 Accepting new patients

Locations

35 E Glenarm St
Pasadena, CA 91105
Phone (626) 768-4415

950 S Arroyo Pkwy
Ste 310
Pasadena, CA 91105
Phone (626) 449-4859

950 S Arroyo Pkwy
Ste 250
Pasadena, CA 91105
Phone (626) 831-8922

950 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 449-4859

Organizations & group practices 2

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1487272647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W BAY STATE ST UNIT 684",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918022828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY STE 250",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053930",
            "telephone_number": "626-449-4859",
            "fax_number": "626-403-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CARLITOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58795",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "58795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.