Active NPI
Joseph Chen
- Pediatric Nurse Practitioner
- National City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95000595
- Practice address
- 655 Euclid Ave
Suite #207
National City, CA 91950-2957 - Phone
- (619) 475-4575
- NPI assigned
- Mar 31, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95000595 | CA | Primary |
Addresses
Primary practice location
655 Euclid Ave
Suite #207
National City, CA 91950-2957
Mailing address
3332 Rossmoor Way
Los Alamitos, CA 90720-4345
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Johns Hopkins University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5315 Torrance Blvd
Suite B1
Torrance, CA 90503-4011
Phone (800) 829-8660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000595 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CP la County S-Ca Hospice, LLC | Current | Accepting new patients | |
| Providence Trinitycare Hospice | Past | Accepting new patients |
Locations
17315 Studebaker Rd
Ste 101
Cerritos, CA 90703
Phone (800) 829-8660
5315 Torrance Blvd
#B1
Torrance, CA 90503
Phone (310) 543-3400
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
Interoperability endpoints
- jchen1624973@oc.providencedirect.org
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Torrance, CA
- NPI 1225850480
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Torrance, CA
- NPI 1366034423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1780002550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3332 ROSSMOOR WAY",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907204345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 EUCLID AVE",
"address_2": "SUITE #207",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502957",
"telephone_number": "619-475-4575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95000595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.