Organization Active NPI

Emery L. Chen, M.D., a Medical Corporation

  • Clinic/Center
  • Lancaster, CA
National Provider Identifier
1710320429
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A82839 Issued in CA
Legal business name
EMERY L. CHEN, M.D., A MEDICAL CORPORATION
Practice address
1658 W Avenue J
Lancaster, CA 93534-2814
Phone
(661) 942-6565
Fax
(661) 940-1066
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Emery Chen, M.D.NPI 1922201763
Title
President
Phone
(661) 942-6565

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
Clinic/Center 261Q00000X A82839 CA Primary

Addresses

Primary practice location

1658 W Avenue J
Lancaster, CA 93534-2814

Mailing address

1658 W Avenue J
Lancaster, CA 93534-2814
Phone (661) 942-6565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130424001052 CA Part B Supplier - Clinic/Group Practice 1759527419 Receives reassigned benefits from 5 practitioners
Practice locations: Bakersfield, CA; Tehachapi, CA; Palmdale, CA

National Provider Directory

National Provider Directory

Locations

1658 W Avenue J
Lancaster, CA 93534
Phone (661) 942-6565

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1710320429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-942-6565",
            "fax_number": "661-940-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-942-6565",
            "fax_number": "661-940-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERY L. CHEN, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "EMERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-942-6565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A82839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.