Individual provider Active NPI

Chien Fang, MD

  • Internal Medicine Physician
  • San Marino, CA
National Provider Identifier
1922071398
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G69728 Issued in CA
Practice address
375 Huntington Dr
Suite G
San Marino, CA 91108-2357
Phone
(626) 441-4231
Fax
(626) 441-0282
NPI assigned
Feb 8, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G69728 CA Primary

Addresses

Primary practice location

375 Huntington Dr
Suite G
San Marino, CA 91108-2357

Mailing address

133 N Altadena Dr
2ND Floor
Pasadena, CA 91107-7325
Phone (626) 397-8335

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
I20090323000301 CA Practitioner - Internal Medicine 2668539453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

375 Huntington Dr
Suite G
San Marino, CA 91108-2357
Phone (626) 441-4231

65 N Madison Ave
Suite 800
Pasadena, CA 91101-2038
Phone (626) 792-3141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.72
Promoting interoperability
96
Improvement activities
40
Cost
74.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69728CAMDPharmacist
G59728CAMDDermatology Physician
G69728CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Internal Medicine CurrentSince Jan 5, 1995 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
The Huntington Medical Foundation Internal Medicine Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Huntington Medical Foundation Internal Medicine Past Accepting new patients
The Huntington Medical Foundation Internal Medicine Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

133 N Altadena Dr
Fl 2
Pasadena, CA 91107
Phone (626) 397-8335

145 Vista Ave
Ste 104
Pasadena, CA 91107

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

375 Huntington Dr
Ste G
San Marino, CA 91108
Phone (626) 441-4231

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cfang419040@direct.cshs.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1922071398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR",
            "address_2": "2ND FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077325",
            "telephone_number": "626-397-8335",
            "fax_number": "626-397-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HUNTINGTON DR",
            "address_2": "SUITE G",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082357",
            "telephone_number": "626-441-4231",
            "fax_number": "626-441-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "CHIEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G69728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.