NPIMap

Organization Active NPI

Gary Chen MD Inc

  • Orthopaedic Hand Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1891912432
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A78259 Issued in CA
Legal business name
GARY CHEN MD INC
Practice address
1513 S. Grand Ave.
Sute 208
Los Angeles, CA 90015
Phone
(213) 765-8088
Fax
(213) 765-8181
NPI assigned
Apr 18, 2007
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CALIFORINA OTHOPEDIC INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Gary ChenNPI 1831123934
Title
Owner
Phone
(213) 765-8088

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X A78258 CA
Pediatric Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XP3100X
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X A78259 CA Primary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X A78259 CA
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X A78259 CA
Orthopaedic Trauma PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0801X A78259 CA

Addresses

Primary practice location

1513 S. Grand Ave.
Sute 208
Los Angeles, CA 90015

Mailing address

PO Box 3365
Cerritos, CA 90703-3365
Phone (213) 765-8088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000352 CA Part B Supplier - Clinic/Group Practice 1153347075 Receives reassigned benefits from 5 practitioners
Practice locations: Anaheim, CA; Cerritos, CA; Los Angeles, CA

National Provider Directory

National Provider Directory
Part of
Gary Chen MD Inc

Locations

17410 Bloomfield Ave
Cerritos, CA 90703
Phone (562) 239-2152

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1891912432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3365",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907033365",
            "telephone_number": "213-765-8088",
            "fax_number": "213-765-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S. GRAND AVE.",
            "address_2": "SUTE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "213-765-8088",
            "fax_number": "213-765-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY CHEN MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORINA OTHOPEDIC INSTITUTE",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-765-8088"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A78258",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A78259",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "A78259",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A78259",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A78259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.