NPIMap

Organization Active NPI

Chen Chiropractic Clinic Inc

  • Chiropractor
  • City of Industry, CA
National Provider Identifier
1619485158
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33361 Issued in CA
Legal business name
CHEN CHIROPRACTIC CLINIC INC
Doing business as
Summit Health Center
Practice address
18575 Gale Ave Ste 265
City of Industry, CA 91748-1384
Phone
(626) 623-8684
Fax
(626) 608-2665
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Tiffany Wuu Chen, DCNPI 1194192948
Title
Owner
Phone
(626) 623-8684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 33361 CA Primary

Addresses

Primary practice location

18575 Gale Ave Ste 265
City of Industry, CA 91748-1384

Mailing address

18575 Gale Ave Ste 265
City of Industry, CA 91748-1384
Phone (626) 623-8684

Other names 1

  • Summit Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220202000324 CA Part B Supplier - Clinic/Group Practice 0042603789 Receives reassigned benefits from 1 practitioner
Practice locations: City of Industry, CA

National Provider Directory

National Provider Directory

Locations

18575 Gale Ave
Ste 265
City of Industry, CA 91748
Phone (626) 623-8684

Practitioners & affiliated clinicians

Practitioners 6

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1619485158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE STE 265",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481384",
            "telephone_number": "626-623-8684",
            "fax_number": "626-608-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE STE 265",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481384",
            "telephone_number": "626-623-8684",
            "fax_number": "626-608-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "WUU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-623-8684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.