Organization Active NPI

Hsiao-Fen Chen MD Inc

  • Family Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1902844517
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A54242 Issued in CA
Legal business name
HSIAO-FEN CHEN MD INC
Practice address
140 W Valley Blvd
Suite 220
San Gabriel, CA 91776-3760
Phone
(626) 307-0797
Fax
(626) 307-0805
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Hsiao-Fen Chen, M.DNPI 1366483497
Title
Owner
Phone
(626) 307-0797

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A54242 CA Primary

Addresses

Primary practice location

140 W Valley Blvd
Suite 220
San Gabriel, CA 91776-3760

Mailing address

PO Box 798
Rosemead, CA 91770-0798
Phone (626) 307-0797

Other practice location 1

223 N Garfield Ave Ste 305
Monterey Park, CA 91754-1700
Phone (626) 307-0797

Other identifiers 1

IdentifierTypeStateIssuer
GR0103020MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050817001237 CA Part B Supplier - Clinic/Group Practice 9638109796 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA; San Gabriel, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1006011Hsiao-Fen Chen MD Inc223 N Garfield Ave, Ste 305, Monterey Park, CA 91754Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

Locations

140 W Valley Blvd
Ste 220
San Gabriel, CA 91776
Phone (626) 307-0797

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1902844517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 798",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917700798",
            "telephone_number": "626-307-0797",
            "fax_number": "626-307-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "SUITE 220",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-307-0797",
            "fax_number": "626-307-0805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 N Garfield Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917541700",
            "country_code": "US",
            "telephone_number": "626-307-0797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HSIAO-FEN CHEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "HSIAO-FEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-307-0797",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.