Individual provider Active NPI

Hamilton Chen, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Riverside, CA
National Provider Identifier
1700019528
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A113744 Issued in CA
Practice address
6900 Brockton Ave
Ste 103
Riverside, CA 92506-3817
Phone
(951) 784-7111
Fax
(951) 823-0378
NPI assigned
Aug 27, 2009
Last updated
May 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A113744 CA Primary

Addresses

Primary practice location

6900 Brockton Ave
Ste 103
Riverside, CA 92506-3817

Mailing address

6900 Brockton Ave
Ste 103
Riverside, CA 92506-3817
Phone (951) 784-7111

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
I20140610001059 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4385868520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
State University of New York Downstate Medical Center, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Pain Consultants Inc.Group PAC ID 1951482975, 5 clinicians

Practice addresses (Care Compare)

6900 Brockton Ave
Suite 103
Riverside, CA 92506-3817
Phone (951) 784-7111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113744CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pain Consultants, Inc. Pain Medicine CurrentSince May 1, 2016 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Gary K. T. Pang, a Professional Corporation Pain Medicine Past Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

6900 Brockton Ave
Ste 103
Riverside, CA 92506
Phone (951) 684-8397

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hamitlon.chen.1@7620.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7620/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1700019528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE",
            "address_2": "STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063817",
            "telephone_number": "951-784-7111",
            "fax_number": "951-823-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE",
            "address_2": "STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063817",
            "telephone_number": "951-784-7111",
            "fax_number": "951-823-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A113744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.