William W Chen MD Medical Corporation

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

WILLIAM W CHEN MD MEDICAL CORPORATION

Practice address

2089 Vale Rd # 34
San Pablo, CA 94806

Phone

(510) 235-9247

Fax

(510) 235-9248

NPI assigned

Oct 31, 2006

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Wei Ming Chen, MDNPI 1851498372

Title

President

Phone

(510) 235-9247

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• William Wei Ming Chen, MD

  • Internal Medicine Physician
  • San Pablo, CA
  • NPI 1851498372

  Allergy & Immunology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1942386180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 VALE RD # 34",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-235-9247",
            "fax_number": "510-235-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD # 34",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-235-9247",
            "fax_number": "510-235-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM W CHEN MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WEI MING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-235-9247",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A070200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine Dagmar Wilkens, PA
• Diane Williams
• Erica Williams
• Michele Thomas Williams, LMFT
• Sophia Rachelle Wilson, NONE
• Winlove B Suasin MD Inc

• Allergy & Immunology Physician in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.