Organization Active NPI

Yung Cheng Joseph Chen MD

  • Psychiatry Physician
  • Cerritos, CA
National Provider Identifier
1598826513
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A41376 Issued in CA
Legal business name
YUNG CHENG JOSEPH CHEN MD
Practice address
17315 Studebaker Road
Suite 130
Cerritos, CA 90703-2521
Phone
(714) 896-7504
Fax
(562) 866-5730
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Yung Cheng Joseph Chen, M.D.
Title
Owner/Provider
Phone
(562) 866-1895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A41376 CA Primary

Addresses

Primary practice location

17315 Studebaker Road
Suite 130
Cerritos, CA 90703-2521

Mailing address

PO Box 2089
Artesia, CA 90702-2089
Phone (562) 866-1895

Other identifiers 2

IdentifierTypeStateIssuer
00A413760OtherCABLUE SHIELD
00A413760MedicaidCA

National Provider Directory

National Provider Directory

Locations

17315 Studebaker Rd
Ste 130
Cerritos, CA 90703
Phone (714) 896-7504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1598826513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907022089",
            "telephone_number": "562-866-1895",
            "fax_number": "562-866-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17315 STUDEBAKER ROAD",
            "address_2": "SUITE 130",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032521",
            "telephone_number": "714-896-7504",
            "fax_number": "562-866-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNG CHENG JOSEPH CHEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YUNG CHENG",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "562-866-1895",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A41376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A413760",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A413760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.