Active NPI
John Chen, MD
- General Practice Physician
- Camp Pendleton, CA
National Provider Identifier
1861953713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101270628
- Practice address
- 200 Mercy Circle Rd
Room 4172
Camp Pendleton, CA 92055 - Phone
- (805) 341-1129
- NPI assigned
- Mar 25, 2019
- Last updated
- Mar 13, 2025
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101270628 | VA | Primary |
Addresses
Primary practice location
200 Mercy Circle Rd
Room 4172
Camp Pendleton, CA 92055
Mailing address
200 Mercy Circle Rd
Room 4172
Camp Pendleton, CA 92055
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101270628 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1861953713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE RD",
"address_2": "ROOM 4172",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE RD",
"address_2": "ROOM 4172",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "805-341-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2025-03-13",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101270628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.