Individual provider Active NPI

Ching Chen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
National Provider Identifier
1588875769
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A10239 Issued in CA
Practice address
2525 Camino del Rio S Ste 313
San Diego, CA 92108
Phone
(858) 333-7932
Fax
(828) 372-4589
NPI assigned
May 27, 2007
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 231612 NY
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 20A10239 CA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A10239 CA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 231612 NY
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 20A10239 CA
Physical Medicine & Rehabilitation Physician 208100000X 231612 NY
Physical Medicine & Rehabilitation Physician 208100000X 20A10239 CA Primary
Pediatric Rehabilitation Medicine Physician 2081P0010X 231612 NY
Pediatric Rehabilitation Medicine Physician 2081P0010X 20A10239 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A10239 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 231612 NY
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 231612 NY
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 20A10239 CA
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 231612 NY
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 20A10239 CA

Addresses

Primary practice location

2525 Camino del Rio S Ste 313
San Diego, CA 92108

Mailing address

3663 Garrison St
San Diego, CA 92106-2166
Phone (858) 333-7932

Other practice location 1

4 Westchester Park Dr Ste 325
White Plains, NY 10604-3497
Phone (858) 333-7932

Other names 1

  • Ching Chen Professional name

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10239CAMDNeuromusculoskeletal Medicine & OMM Physician
231612NYMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ching Chen Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1588875769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 GARRISON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062166",
            "telephone_number": "858-333-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 313",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "858-333-7932",
            "fax_number": "828-372-4589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Westchester Park Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106043497",
            "country_code": "US",
            "telephone_number": "858-333-7932",
            "fax_number": "828-372-4589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHING",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-27",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "231612",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A10239",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A10239",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "231612",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "CA",
            "license": "20A10239",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "231612",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A10239",
            "primary": true
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NY",
            "license": "231612",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CA",
            "license": "20A10239",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A10239",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "231612",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "231612",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "CA",
            "license": "20A10239",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "NY",
            "license": "231612",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "CA",
            "license": "20A10239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHING",
            "last_name": "CHEN",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.