Individual provider Active NPI

Timothy Chen, M.D.

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1699017707
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A136216 Issued in CA
Practice address
2100 Webster St Ste 115
San Francisco, CA 94115-2374
Phone
(415) 387-8800
Fax
(415) 387-5204
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A136216 CA Primary

Addresses

Primary practice location

2100 Webster St Ste 115
San Francisco, CA 94115-2374

Mailing address

2100 Webster St Ste 115
San Francisco, CA 94115-2374
Phone (415) 387-8800

Other practice location 1

3801 Sacramento St Ste 300
San Francisco, CA 94118-1625
Phone (415) 600-2402

Other practice location 2

2100 Webster St Ste 516
San Francisco, CA 94115-2381
Phone (415) 600-2470

Other identifiers 1

IdentifierTypeStateIssuer
A136216OtherCASTATE MEDICAL LICENSE

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
I20151208002868 CA Practitioner - Gastroenterology 3779884176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

2100 Webster St
Suite 115
San Francisco, CA 94115-2374
Phone (415) 387-8800

2574 San Bruno Ave
San Francisco, CA 94134-1505
Phone (415) 391-9686

3801 Sacramento St
Suite 300
San Francisco, CA 94118-1625
Phone (415) 600-2402

Hospital & facility affiliations

  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy218
Upper gastrointestinal (GI) endoscopy for acid reflux149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136216CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2019 Accepting new patients
Timothy H Chen MD Inc Gastroenterology CurrentSince May 23, 2019 Accepting new patients
North East Medical Services CurrentSince Sep 16, 2019 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2019 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

2100 Webster St
Ste 516
San Francisco, CA 94115
Phone (415) 345-0940

1520 Stockton St
San Francisco, CA 94133

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1700 California St
Ste 100
San Francisco, CA 94109
Phone (415) 386-5388

2574 San Bruno Ave
San Francisco, CA 94134
Phone (415) 352-5090

2100 Webster St
Ste 115
San Francisco, CA 94115
Phone (415) 600-7880

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: tchenresspmf173001@hisp.ehr.sutterhealth.org
  • Direct secure messaging: tchen19000@northeastmedicalservicesnems.direct-ci.com

Organizations & group practices 8

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 3

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1699017707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152374",
            "telephone_number": "415-387-8800",
            "fax_number": "415-387-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152374",
            "telephone_number": "415-387-8800",
            "fax_number": "415-387-5204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Sacramento St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181625",
            "country_code": "US",
            "telephone_number": "415-600-2402",
            "fax_number": "415-379-9870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Webster St Ste 516",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941152381",
            "country_code": "US",
            "telephone_number": "415-600-2470",
            "fax_number": "415-369-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A136216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A136216",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.