Active NPI
Eric Yenjen Chen, DPM
- Foot Surgery Podiatrist
- City of Industry, CA
National Provider Identifier
1508839648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E4285
- Practice address
- 1661 Hanover Rd
Suite # 103
City of Industry, CA 91748-1796 - Phone
- (626) 965-1550
- Fax
- (626) 581-8411
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E4285 | CA | Primary |
Addresses
Primary practice location
1661 Hanover Rd
Suite # 103
City of Industry, CA 91748-1796
Mailing address
1661 Hanover Rd
Suite # 103
City of Industry, CA 91748-1796
Phone (626) 965-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E42850 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050419000596 | CA | Practitioner - Podiatry | 6305884586 | Practice locations: Hacienda Heights, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16404 Colima Rd
Hacienda Heights, CA 91745-5502
Phone (626) 965-1550
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 127 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4285 | CA | MD | Professional Counselor |
| E4285 | CA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc Whittier Hospital Medical Center LP | Past | Accepting new patients | |
| Eric Y. Chen DPM Corp. | Past | Accepting new patients | |
| Eycc Services Inc | Foot Surgery | Past | Accepting new patients |
| Starling Oncology Ca, a Professional Corporation | Past | Accepting new patients | |
| Universal Care | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Foot & Ankle Surgery Podiatrist
- City of Industry, CA
- NPI 1215010046
-
- Foot Surgery Podiatrist
- City of Industry, CA
- NPI 1205120672
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1376632877
-
- Hematology & Oncology Physician
- Las Vegas, NV
- NPI 1225514508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1508839648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 HANOVER RD",
"address_2": "SUITE # 103",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481796",
"telephone_number": "626-965-1550",
"fax_number": "626-581-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 HANOVER RD",
"address_2": "SUITE # 103",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481796",
"telephone_number": "626-965-1550",
"fax_number": "626-581-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ERIC",
"middle_name": "YENJEN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E4285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E42850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.