Organization Active NPI

Eli Chen, M.D., Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Morgan Hill, CA
National Provider Identifier
1891040531
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A116911 Issued in CA
Legal business name
ELI CHEN, M.D., INC.
Practice address
18550 De Paul Dr
Suite 203
Morgan Hill, CA 95037-2911
Phone
(408) 782-4060
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Eli Chen, M.D.NPI 1912220138
Title
President
Phone
(408) 782-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X A116911 CA Primary

Addresses

Primary practice location

18550 De Paul Dr
Suite 203
Morgan Hill, CA 95037-2911

Mailing address

18550 De Paul Dr
Suite 203
Morgan Hill, CA 95037-2911
Phone (408) 782-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121019000529 CA Part B Supplier - Clinic/Group Practice 4880844273 Receives reassigned benefits from 1 practitioner
Practice locations: Morgan Hill, CA; San Jose, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1891040531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 DE PAUL DR",
            "address_2": "SUITE 203",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372911",
            "telephone_number": "408-782-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 DE PAUL DR",
            "address_2": "SUITE 203",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372911",
            "telephone_number": "408-782-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI CHEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-782-4060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A116911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.