Individual provider Active NPI

Tsung Chang Chen, M.D.

  • Pulmonary Disease Physician
  • Cupertino, CA
National Provider Identifier
1669546651
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A45142 Issued in CA
Practice address
10430 S de Anza Blvd
E220
Cupertino, CA 95014-3019
Phone
(408) 257-8860
Fax
(408) 519-6556
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A45142 CA Primary

Addresses

Primary practice location

10430 S de Anza Blvd
E220
Cupertino, CA 95014-3019

Mailing address

10430 S de Anza Blvd
E220
Cupertino, CA 95014-3019
Phone (408) 257-8860

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
I20110513000285 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9234315920 Practice locations: Cupertino, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of Texas Medical Branch at Galveston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10430 S de Anza Blvd
Suite 220
Cupertino, CA 95014-3022
Phone (408) 257-8860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45142CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Healthcare Operating a LP PastSince Jan 1, 2023 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669546651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD",
            "address_2": "E220",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143019",
            "telephone_number": "408-257-8860",
            "fax_number": "408-519-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD",
            "address_2": "E220",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143019",
            "telephone_number": "408-257-8860",
            "fax_number": "408-519-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TSUNG CHANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A45142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.