Stephen S Chen MD Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A107350 Issued in CA

Legal business name

STEPHEN S CHEN MD INC

Practice address

1777 Botelho Dr Ste 110
Walnut Creek, CA 94596-5083

Phone

(925) 934-3536

Fax

(925) 934-0672

NPI assigned

Jun 14, 2018

Last updated

Jan 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret A Raskowsky

Title

Manager

Phone

(415) 491-1210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen S. Chen, M.D.

  • Pediatric Sports Medicine Physician
  • Walnut Creek, CA
  • NPI 1730336397
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1558855437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 LA SALLE AVE # 320",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112802",
            "telephone_number": "415-491-1210",
            "fax_number": "415-491-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 BOTELHO DR STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965083",
            "telephone_number": "925-934-3536",
            "fax_number": "925-934-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN S CHEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "RASKOWSKY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-491-1210"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A107350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Marie Steinkirchneranderson, MD
• Angel Jaycob Stemple
• Hanna Stensby
• Stephanie Veilleux OD & Winson Ong OD (Briones EyeCare Optometry)
• Stephen R. Wells, M.D.
• Raymond M Stephens, MD
• Cynthia Ellen Stephenson, DDS
• Marilyn K. Steppe, MD
• Carli Sterling
• Elisa Stern

• Sports Medicine (Orthopaedic Surgery) Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.