NPIMap

Individual provider Active NPI

Andrew Philip Chen, M.D.

  • Ophthalmology Physician
  • Lodi, CA
National Provider Identifier
1912014739
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G72858 Issued in CA
Practice address
521 S Ham LN
Suite a
Lodi, CA 95242-3528
Phone
(209) 334-5886
Fax
(209) 334-5281
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G72858 CA Primary

Addresses

Primary practice location

521 S Ham LN
Suite a
Lodi, CA 95242-3528

Mailing address

521 S Ham LN
Suite a
Lodi, CA 95242-3528
Phone (209) 334-5886

Other identifiers 1

IdentifierTypeStateIssuer
00G728580MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000917 CA Practitioner - Ophthalmology 8224014196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Eye Medical Group, Inc.Group PAC ID 6204873870, 8 clinicians

Practice addresses (Care Compare)

1617 Saint Marks PLZ D
Stockton, CA 95207-6423
Phone (209) 478-1797

Merit-based Incentive Payment System (MIPS)

Final score
93.59 of 100Reported as group
Quality
94.66
Improvement activities
40
Cost
82.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72858CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Eye Medical Group, Inc. Ophthalmology CurrentSince Jan 1, 2007 Accepting new patients
Delta Eye Medical Group, Inc. Ophthalmology Current Accepting new patients
Delta Eye Medical Group, Inc. Ophthalmology CurrentSince Jan 1, 2007 Accepting new patients
San Joaquin Laser Surgery Center Current Accepting new patients
San Joaquin Laser and Surgery Center Current Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients
Dameron Hospital Association Past Accepting new patients

Locations

521 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 334-5886

1617 Saint Marks Plz
Ste D
Stockton, CA 95207
Phone (209) 478-1797

2160 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (209) 835-2227

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: achen15496@hpmg.direct-ci.net

Organizations & group practices 9

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1912014739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S HAM LN",
            "address_2": "SUITE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423528",
            "telephone_number": "209-334-5886",
            "fax_number": "209-334-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S HAM LN",
            "address_2": "SUITE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423528",
            "telephone_number": "209-334-5886",
            "fax_number": "209-334-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANDREW",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G72858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G728580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.