NPIMap

Individual provider Active NPI

Kwan Sian Chen, MD

  • Interventional Cardiology Physician
  • Fremont, CA
National Provider Identifier
1619928025
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A045567 Issued in CA
Practice address
39229 Liberty St
Fremont, CA 94538-1501
Phone
(510) 494-8316
Fax
(510) 494-8314
NPI assigned
May 12, 2006
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A045567 CA Primary

Addresses

Primary practice location

39229 Liberty St
Fremont, CA 94538-1501

Mailing address

39229 Liberty St
Fremont, CA 94538-1501
Phone (510) 494-8316

Other identifiers 1

IdentifierTypeStateIssuer
00A455671MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000634 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac SurgeryPractitioner - Internal Medicine 9032195847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Surgery, Internal Medicine
Education
Duke University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

39231 Liberty St
Fremont, CA 94538-1501
Phone (510) 494-8316

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as individual
Quality
81.56
Improvement activities
40
Cost
78.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A045567CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Current Accepting new patients
Washington Township Hospital District CurrentSince Oct 8, 2007 Accepting new patients
East Bay Cardiology Inc CurrentSince Nov 7, 2011 Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

39229 Liberty St
Fremont, CA 94538
Phone (510) 494-8316

39231 Liberty St
Fremont, CA 94538
Phone (510) 494-8316

27206 Calaroga Ave
Ste 115
Hayward, CA 94545
Phone (510) 259-1201

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIGGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIGGBA/Endpoint/FIGGBA

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1619928025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39229 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381501",
            "telephone_number": "510-494-8316",
            "fax_number": "510-494-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39229 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381501",
            "telephone_number": "510-494-8316",
            "fax_number": "510-494-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KWAN",
        "middle_name": "SIAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A045567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A455671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.