Organization Active NPI

Phil Y. C. Chen, D.O., a Professional Corporation

  • Primary Care Clinic/Center
  • Henderson, NV
National Provider Identifier
1679827679
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
871 Issued in NV
Legal business name
PHIL Y. C. CHEN, D.O., A PROFESSIONAL CORPORATION
Practice address
219 N Pecos Rd
Henderson, NV 89074-7359
Phone
(702) 260-7818
Fax
(702) 260-7238
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Phil Chen, D.O.
Title
President
Phone
(702) 260-7818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 871 NV Primary
Primary Care Clinic/Center 261QP2300X 20A7220 CA

Addresses

Primary practice location

219 N Pecos Rd
Henderson, NV 89074-7359

Mailing address

219 N Pecos Rd
Henderson, NV 89074-7359
Phone (702) 260-7818

Other names 1

  • Advanced Pain Management and Family Care Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130321000152 NV Part B Supplier - Clinic/Group Practice 1951546019 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0999272Advanced Pain MGT & Family Care Assoc219 N Pecos Rd, Henderson, NV 89074Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

Locations

219 N Pecos Rd
Henderson, NV 89074
Phone (702) 260-7818

Practitioners & affiliated clinicians

Practitioners 1

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": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1679827679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747359",
            "telephone_number": "702-260-7818",
            "fax_number": "702-260-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747359",
            "telephone_number": "702-260-7818",
            "fax_number": "702-260-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL Y. C. CHEN, D.O., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-260-7818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "871",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A7220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Management and Family Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.