Cai Chen, DO
Individual provider Active NPI Psychiatry Physician · Los Altos, CA
NPI 1760916563 · NPPES record last updated Aug 17, 2024
Key facts
- NPI
- 1760916563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 20A19127 (CA)
- Practice address
- 851 Fremont Ave Ste 102
Los Altos, CA 94024-5602 - Phone
- (916) 877-4791
- NPI assigned
- Apr 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 19
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of North Texas HSC, College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - Psychiatry PC
County of San Mateo
Practice addresses (Care Compare)
1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400
222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222
Hospital & facility affiliations
- Peninsula Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220314002068 | CA | Practitioner - Psychiatry | 5597034553 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19127 | CA | MD | Acupuncturist |
| 20A19127 | CA | MD | Psychiatry Physician |
| R9588 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Psychiatry PC | Psychiatry | Current |
Accepting new patients |
| County of San Mateo | Current |
Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current |
Accepting new patients |
| County of San Mateo | Current |
Accepting new patients | |
| County of San Mateo | Current |
Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
Locations
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
2740 Grant St
Concord, CA 94520
Phone (800) 680-6555
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Interoperability endpoints
- cchen19016@smch.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R9588 | TX | |
| Psychiatry Physician | 2084P0800X | 20A19127 | CA | Yes |
Addresses
Primary practice location
851 Fremont Ave Ste 102
Los Altos, CA 94024-5602
Mailing address
851 Fremont Ave Ste 102
Los Altos, CA 94024-5602
Phone (916) 877-4791
Other providers in Los Altos, CA
- Charmaine Tu, D.C. Corporation
- Rokhsareh Charney
- Mylea Charvat
- Maya Chatav
- Thanh K Chau
- Ethan Chen
- Faustina Chen
- Stephanie P Chen
- Grace Cheng
- Carissa Cheung
All providers in Los Altos, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.