Individual provider Active NPI

Yung-Kuang Chen, MD

  • Family Medicine Physician
  • Cupertino, CA
National Provider Identifier
1619009404
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A74211 Issued in CA
Practice address
10050 Bubb Rd
Suite #1
Cupertino, CA 95014-4132
Phone
(408) 996-3376
Fax
(408) 996-3136
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A74211 CA Primary

Addresses

Primary practice location

10050 Bubb Rd
Suite #1
Cupertino, CA 95014-4132

Mailing address

10050 Bubb Rd
Suite #1
Cupertino, CA 95014-4132
Phone (408) 996-3376

Other names 1

  • Dr. Yung Chen Other name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108001954 CA Order and Referring Only - Family PracticePractitioner - Family Practice 8820150881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74211CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Medical Associates, PC Family Medicine PastSince Apr 1, 2008 Accepting new patients
Pentahealth, LLC Family Medicine PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1619009404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 BUBB RD",
            "address_2": "SUITE #1",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144132",
            "telephone_number": "408-996-3376",
            "fax_number": "408-996-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 BUBB RD",
            "address_2": "SUITE #1",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144132",
            "telephone_number": "408-996-3376",
            "fax_number": "408-996-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YUNG-KUANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A74211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUNG",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.