Individual provider Active NPI

Paul Hong-Dze Chen, M.D.

  • Ophthalmology Physician
  • Carlsbad, CA
National Provider Identifier
1760486419
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A65156 Issued in CA
Practice address
1905 Calle Barcelona
Ste 208
Carlsbad, CA 92009-8452
Phone
(760) 930-9696
Fax
(760) 930-9696
NPI assigned
Jun 10, 2005
Last updated
Mar 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A65156 CA Primary

Addresses

Primary practice location

1905 Calle Barcelona
Ste 208
Carlsbad, CA 92009-8452

Mailing address

1905 Calle Barcelona
Ste 208
Carlsbad, CA 92009-8452
Phone (760) 930-9696

Other identifiers 1

IdentifierTypeStateIssuer
9170433MedicaidCA

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
I20040120001083 CA Practitioner - Ophthalmology 1658272745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North County Laser Eye Associates, ApcGroup PAC ID 2769624105, 2 clinicians

Practice addresses (Care Compare)

1905 Calle Barcelona
Suite 208
Carlsbad, CA 92009-8452
Phone (760) 930-9646

Merit-based Incentive Payment System (MIPS)

Final score
23.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery403

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
North County Laser Eye Associates, Apc Ophthalmology CurrentSince Nov 16, 2005 Accepting new patients
Kaestner Medical Corporation Ophthalmology PastSince Jan 5, 2005 Accepting new patients

Locations

1905 Calle Barcelona
Ste 208
Carlsbad, CA 92009
Phone (760) 930-9646

Interoperability endpoints

  • Direct secure messaging: pchen71405@scrippshlth.medalliesdirect.net

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1760486419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CALLE BARCELONA",
            "address_2": "STE 208",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098452",
            "telephone_number": "760-930-9696",
            "fax_number": "760-930-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CALLE BARCELONA",
            "address_2": "STE 208",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098452",
            "telephone_number": "760-930-9696",
            "fax_number": "760-930-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "PAUL",
        "middle_name": "HONG-DZE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A65156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9170433",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.