Individual provider Active NPI

Jing Chen, M.D.

  • Pediatrics Physician
  • Diamond Bar, CA
National Provider Identifier
1699208942
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
160232 Issued in CA
Practice address
1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone
(909) 860-1144
Fax
(909) 860-8307
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 160232 CA Primary

Addresses

Primary practice location

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929

Mailing address

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone (909) 860-1144

Other practice location 1

11234 Anderson St
Loma Linda University Health General Pediatrics
Loma Linda, CA 92354-2804
Phone (909) 558-4174

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchen1415948@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200922002790 CA Practitioner - Pediatric Medicine 7810315991 Reassigns benefits to 1 organization
I20260113002797 NE Practitioner - Pediatric Medicine 7810315991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Creighton University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160232CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jan 1, 2026 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Sep 21, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Sep 21, 2020 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Children'S Physicians Pediatrics Past Accepting new patients
The Nebraska Medical Center Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

15855 Pomona Rincon Rd
Chino Hills, CA 91709
Phone (909) 264-8666

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

4400 Emile St
Omaha, NE 68198
Phone (402) 559-4500

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Interoperability endpoints

  • Direct secure messaging: jchen27243@direct.chsomaha.org
  • Direct secure messaging: jchen1415948@oc.providencedirect.org
  • Direct secure messaging: jchen521295@direct.nebraskamed.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1699208942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 VALLEY VISTA DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653929",
            "telephone_number": "909-860-1144",
            "fax_number": "909-860-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 VALLEY VISTA DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653929",
            "telephone_number": "909-860-1144",
            "fax_number": "909-860-8307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson St",
            "address_2": "Loma Linda University Health General Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "160232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchen1415948@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1514 Valley Vista Dr",
            "city": "Diamond Bar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917653929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.