Individual provider Active NPI

Lisa Liwen Chen, NP

  • Family Nurse Practitioner
  • Burlingame, CA
National Provider Identifier
1689397994
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022728 Issued in CA
Practice address
1750 El Camino Real Ste 307
Burlingame, CA 94010-3216
Phone
(659) 697-5367
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022728 CA Primary

Addresses

Primary practice location

1750 El Camino Real Ste 307
Burlingame, CA 94010-3216

Mailing address

1750 El Camino Real Ste 307
Burlingame, CA 94010-3216
Phone (650) 697-5367

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205003170 CA Practitioner - Nurse Practitioner 1951770460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates Burlingame Medical CorporationGroup PAC ID 9537135850, 12 clinicians

Practice addresses (Care Compare)

1750 El Camino Real
Suite 307
Burlingame, CA 94010-3216
Phone (650) 697-7079

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates Burlingame Medical Corporation CurrentSince Dec 1, 2022 Accepting new patients

Locations

1750 El Camino Real
Ste 307
Burlingame, CA 94010
Phone (650) 259-1480

Interoperability endpoints

  • Direct secure messaging: lchen640181@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1689397994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 307",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103216",
            "telephone_number": "650-697-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 307",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103216",
            "telephone_number": "659-697-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LISA",
        "middle_name": "LIWEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.