NPIMap

Individual provider Active NPI

Xinke Chen, MD

  • Hospitalist Physician
  • Corona, CA
National Provider Identifier
1780634857
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A86771 Issued in CA
Practice address
770 Magnolia Ave Ste 2G
Corona, CA 92879-3122
Phone
(951) 907-5386
Fax
(951) 371-5681
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A86771 CA
Hospitalist Physician 208M00000X A86771 CA Primary

Addresses

Primary practice location

770 Magnolia Ave Ste 2G
Corona, CA 92879-3122

Mailing address

PO Box 77790
Corona, CA 92877-0126
Phone (951) 278-5590

Other identifiers 1

IdentifierTypeStateIssuer
1356670905MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000971 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7810949237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

482 Corona Mall
Corona, CA 92879-1418
Phone (951) 549-9791

Hospital & facility affiliations

  • Direct Provider of Healthcare Services, Inc Home health agency, Rancho Cucamonga, CA, CCN 059415
  • Del Rosa Home Health, Inc. Home health agency, Corona, CA, CCN 559168
  • Vanguard Hospice Care Hospice, Corona, CA, CCN 921520
  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
  • Corona Health Care Center Nursing home, Corona, CA, CCN 055255
  • Corona Post Acute Center Nursing home, Corona, CA, CCN 555566
  • Corona Regional Medical Center D/P SNF Nursing home, Corona, CA, CCN 555390

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86771CAMDMarriage & Family Therapist
A86771CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Hospice Care, Inc CurrentSince Nov 14, 2012 Accepting new patients
Cogent Healthcare of California, PC Hospitalist Past Accepting new patients
Catalin Nicola MD. Inc Past Accepting new patients
Provident Hospitalist Associates, a Professional Medical Corporation Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Inland Hospitalists Med GP Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Regal Medical Group, Inc. General Practice Past Accepting new patients

Locations

770 Magnolia Ave
Ste 2G
Corona, CA 92879
Phone (909) 734-6500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vanguard Hospice Care, IncCorona, CA, CCN 921520 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)		 Nov 14, 2012
Nov 14, 2012
Nov 14, 2012
Nov 14, 2012
Nov 14, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Vanguard Hospice Care, Inc
    • Community Based Hospice Care Agency
    • Chino, CA
    • NPI 1356767818

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1780634857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "951-278-5590",
            "fax_number": "951-272-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE STE 2G",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793122",
            "telephone_number": "951-907-5386",
            "fax_number": "951-371-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "XINKE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A86771",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A86771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356670905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.