Individual provider Active NPI

David C P Chen

  • Diagnostic Radiology Physician
  • San Gabriel, CA
National Provider Identifier
1629006895
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A39713 Issued in CA
Practice address
1129 S San Gabriel Blvd
San Gabriel, CA 91776-3114
Phone
(626) 282-2802
Fax
(626) 282-2202
NPI assigned
Jun 28, 2006
Last updated
Feb 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A39713 CA Primary

Addresses

Primary practice location

1129 S San Gabriel Blvd
San Gabriel, CA 91776-3114

Mailing address

1129 S San Gabriel Blvd
San Gabriel, CA 91776-3114
Phone (626) 282-2802

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
I20080307000449 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8729974209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39713CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David C P Chen, M.D., Inc CurrentSince Jan 1, 1973 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Advance Surgeons Medical Group Inc Past Accepting new patients

Locations

18575 Gale Ave
Ste 105
City of Industry, CA 91748
Phone (626) 363-1733

1850 S Azusa Ave
Ste 20
Hacienda Heights, CA 91745
Phone (626) 913-1665

208 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 287-6746

1129 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 282-2802

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1629006895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763114",
            "telephone_number": "626-282-2802",
            "fax_number": "626-282-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763114",
            "telephone_number": "626-282-2802",
            "fax_number": "626-282-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DAVID",
        "middle_name": "C P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A39713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.