Individual provider Active NPI

Eric Yenjen Chen, DPM

  • Foot Surgery Podiatrist
  • City of Industry, CA
National Provider Identifier
1508839648
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4285 Issued in CA
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

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E42850MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4285CAMDProfessional Counselor
E4285CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.