Individual provider Active NPI

Maylin Heav-Wong Chen, NP

  • Family Nurse Practitioner
  • Los Gatos, CA
National Provider Identifier
1780019117
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23492 Issued in CA
Practice address
105 Strathmore PL
Los Gatos, CA 95032-1758
Phone
(626) 278-5750
NPI assigned
Sep 4, 2013
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60786223 WA
Family Nurse Practitioner 363LF0000X F342239-1 NY
Family Nurse Practitioner 363LF0000X 23492 CA Primary

Addresses

Primary practice location

105 Strathmore PL
Los Gatos, CA 95032-1758

Mailing address

105 Strathmore PL
Los Gatos, CA 95032-1758
Phone (626) 278-5750

Other practice location 1

300 E 56th St Apt 3C
New York, NY 10022-4135
Phone (516) 210-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23492CAMDFamily Nurse Practitioner
F342239-1NYMDFamily Nurse Practitioner
AP60786223WAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1780019117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STRATHMORE PL",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321758",
            "telephone_number": "626-278-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STRATHMORE PL",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321758",
            "telephone_number": "626-278-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E 56th St Apt 3C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100224135",
            "country_code": "US",
            "telephone_number": "516-210-5600",
            "fax_number": "917-254-4419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MAYLIN",
        "middle_name": "HEAV-WONG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60786223",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342239-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.