Organization Active NPI

Oculoplastic Consultants of Arizona P C

  • Specialist
  • Glendale, AZ
National Provider Identifier
1689893711
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25627 Issued in AZ
Legal business name
OCULOPLASTIC CONSULTANTS OF ARIZONA P C
Practice address
20100 N 51St Ave
Suite E-570
Glendale, AZ 85308-5125
Phone
(602) 993-9100
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Dr. Steven Chen, M.D.NPI 1043201999
Title
Physician
Phone
(602) 993-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25627 AZ Primary

Addresses

Primary practice location

20100 N 51St Ave
Suite E-570
Glendale, AZ 85308-5125

Mailing address

20100 N 51St Ave
Suite E-570
Glendale, AZ 85308-5125
Phone (602) 993-9100

Other identifiers 1

IdentifierTypeStateIssuer
393645MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000431 AZ Part B Supplier - Clinic/Group Practice 0941195085 Receives reassigned benefits from 2 practitioners
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

5750 W Thunderbird Rd
Ste B250
Glendale, AZ 85306

20100 N 51st Ave
Ste E570
Glendale, AZ 85308
Phone (602) 993-9100

7320 E Deer Valley Rd
Ste J105
Scottsdale, AZ 85255
Phone (602) 993-9100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1689893711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE",
            "address_2": "SUITE E-570",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085125",
            "telephone_number": "602-993-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE",
            "address_2": "SUITE E-570",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085125",
            "telephone_number": "602-993-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOPLASTIC CONSULTANTS OF ARIZONA P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-993-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "25627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.