Individual provider Active NPI

Lido S Chen, MD

  • Interventional Pain Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1891781753
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A40968 Issued in CA
Practice address
23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92653-3101
Phone
(949) 458-2026
Fax
(949) 273-8053
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A40968 CA
Pain Medicine Physician 208VP0000X A40968 CA
Interventional Pain Medicine Physician 208VP0014X A40968 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92653-3101

Mailing address

23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92653-3101
Phone (949) 458-2026

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
I20070522000412 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 9133226467

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40968CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lido Chen, M.D. Inc CurrentSince Aug 4, 2010 Accepting new patients
Andrew H Messiha MD Pain Medicine Current Accepting new patients
Surgery Center for Pain Intervention Inc CurrentSince Mar 25, 2009 Accepting new patients

Locations

23521 Paseo de Valencia
Ste 204
Laguna Hills, CA 92653
Phone (949) 364-8959

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJFBAA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1891781753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 204",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533101",
            "telephone_number": "949-458-2026",
            "fax_number": "949-273-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 204",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533101",
            "telephone_number": "949-458-2026",
            "fax_number": "949-273-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LIDO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A40968",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A40968",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A40968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.