Individual provider Active NPI

Joseph Chen

  • Pediatric Nurse Practitioner
  • National City, CA
National Provider Identifier
1780002550
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95000595 Issued in CA
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

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111001971 CA Practitioner - Nurse Practitioner 1658862396 Reassigns benefits to 1 organization

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
CP la County S-Ca Hospice, LLCGroup PAC ID 3476043811, 7 clinicians

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

LicenseStateTypeSpecialty
95000595CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CP la County S-Ca Hospice, LLC CurrentSince Sep 29, 2025 Accepting new patients
Providence Trinitycare Hospice PastSince Sep 29, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.