Individual provider Active NPI

William Chen, DO

  • Family Medicine Physician
  • Farmington, NM
National Provider Identifier
1720575871
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2024-0004 Issued in NM
Practice address
1001 W Broadway Ste D&E
Farmington, NM 87401-5638
Phone
(505) 327-4796
Fax
(505) 599-9351
NPI assigned
Apr 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A17902 CA
Family Medicine Physician 207Q00000X DO2024-0004 NM Primary

Addresses

Primary practice location

1001 W Broadway Ste D&E
Farmington, NM 87401-5638

Mailing address

1001 W Broadway Ste D&E
Farmington, NM 87401-5638
Phone (505) 327-4796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211027002484 CA Practitioner - Family Practice 0749678522 Reassigns benefits to 2 organizations
I20221104001197 TX Practitioner - Family Practice 0749678522 Reassigns benefits to 1 organization
I20240123000245 NM Practitioner - Family Practice 0749678522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

1001 W Broadway
Farmington, NM 87401-5638
Phone (505) 327-4796

1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565

416 Napa Junction Rd
Suite 140
American Canyon, CA 94503-1281
Phone (707) 646-5500

Hospital & facility affiliations

  • Aura Home Health, LLC Home health agency, Antioch, CA, CCN 757121
  • San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005
  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17902CAMDFamily Medicine Physician
DO2024-0004NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Family Medicine CurrentSince Feb 5, 2024 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Aug 30, 2021 Accepting new patients
Presbyterian Medical Services CurrentSince Feb 5, 2024 Accepting new patients
Southwest Colorado Mental Health Center, Inc Current Accepting new patients
Northbay Health Medical Foundation Family Medicine CurrentSince Feb 2, 2026 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Oct 17, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Oct 17, 2022 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
St. Johns Community Health CurrentSince Aug 30, 2021 Accepting new patients
St. Johns Community Health Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients

Locations

416 Napa Junction Rd
#140
American Canyon, CA 94503

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1305 Stratford Ave
Dixon, CA 95620

4520 Business Center Dr
Ste 200
Fairfield, CA 94534
Phone (707) 646-3500

327 Main St
Rio Vista, CA 94571
Phone (707) 374-1412

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000

101 Main St
Winters, CA 95694
Phone (530) 795-4123

691 E Empire St
Cortez, CO 81321
Phone (970) 335-2232

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

1001 W Broadway
Ste De
Farmington, NM 87401
Phone (505) 327-4796

1001 W Broadway
Ste D
Farmington, NM 87401
Phone (505) 325-0238

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: william.chen.p1@direct.pmsnm.nextgenshare.com
  • Direct secure messaging: william.chen@493341706813444.direct.elationemr.com

Organizations & group practices 12

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 4

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": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1720575871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W BROADWAY STE D&E",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015638",
            "telephone_number": "505-327-4796",
            "fax_number": "505-599-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W BROADWAY STE D&E",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015638",
            "telephone_number": "505-327-4796",
            "fax_number": "505-599-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17902",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "DO2024-0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.