Individual provider Active NPI

Jian Chen, M.D.

  • Family Medicine Physician
  • Loma Linda, CA
National Provider Identifier
1841633617
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A138143 Issued in CA
Practice address
25455 Barton Rd
Suite 206a
Loma Linda, CA 92354-3128
Phone
(909) 558-6526
NPI assigned
Apr 11, 2013
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A138143 CA Primary

Addresses

Primary practice location

25455 Barton Rd
Suite 206a
Loma Linda, CA 92354-3128

Mailing address

25455 Barton Rd
Suite 206a
Loma Linda, CA 92354-3128

Other practice location 1

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807-3122
Phone (714) 257-6170

Other practice location 2

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 628-3300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805002428 CA Practitioner - Family Practice 5799082574 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006

15855 Pomona Rincon Rd
BLDG 4
Chino Hills, CA 91709-3162
Phone (909) 929-2511

19333 Bear Valley Rd
Apple Valley, CA 92308-5149

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138143CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Sep 21, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Providence Medical Foundation Current Accepting new patients
Beaver Medical Group P C CurrentSince Nov 24, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Jul 16, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 16, 2016 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Sep 21, 2020 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Nov 24, 2020 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

7000 Boulder Ave
Highland, CA 92346

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

25455 Barton Rd
Ste 206A
Loma Linda, CA 92354
Phone (909) 558-6526

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

2 W Fern Ave
#1112
Redlands, CA 92373

Interoperability endpoints

  • Direct secure messaging: jchen1415949@oc.providencedirect.org
  • Direct secure messaging: jchen17305@epiclp.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1841633617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "address_2": "SUITE 206A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "address_2": "SUITE 206A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128",
            "telephone_number": "909-558-6526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5630 E Santa Ana Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928073122",
            "country_code": "US",
            "telephone_number": "714-257-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 E Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693204",
            "country_code": "US",
            "telephone_number": "714-628-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A138143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.