Active NPI
Jeffrey Chen, M.D.
- Child & Adolescent Psychiatry Physician
- Campbell, CA
National Provider Identifier
1548402019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A127688
- Practice address
- 51 E Campbell Ave Ste 170
Campbell, CA 95008-2001 - Phone
- (408) 622-1661
- NPI assigned
- Mar 30, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A127688 | CA | Primary |
| Psychiatry Physician | 2084P0800X | A127688 | CA |
Addresses
Primary practice location
51 E Campbell Ave Ste 170
Campbell, CA 95008-2001
Mailing address
51 E Campbell Ave Ste 170
Campbell, CA 95008-2001
Phone (408) 622-1661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127688 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1548402019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 E CAMPBELL AVE STE 170",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082001",
"telephone_number": "408-622-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 E CAMPBELL AVE STE 170",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082001",
"telephone_number": "408-622-1661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JEFFREY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-30",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A127688",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A127688",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.