Individual provider Active NPI

Angela Shunzu Chen, D.O.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1942735873
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19663 Issued in CA
Practice address
1721 Technology Dr
San Jose, CA 95110-1305
Phone
(408) 436-3300
NPI assigned
Apr 28, 2017
Last updated
Sep 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 20A19663 CA Primary

Addresses

Primary practice location

1721 Technology Dr
San Jose, CA 95110-1305

Mailing address

1721 Technology Dr
San Jose, CA 95110-1305
Phone (408) 436-3300

Other practice location 1

600 Ivy St
Elmira, NY 14905-1627
Phone (408) 891-8625

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Https://careepicwest.kp.org:11430/Interconnect-procalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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
I20221028000925 CA Practitioner - Family Practice 1759758139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carbon Health Primary Care of California PCGroup PAC ID 8628350626, 22 clinicians
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

1760 S Bascom Ave
Suite 140
Campbell, CA 95008-0638
Phone (408) 214-9732

2660 Grant Rd
Suite E
Mountain View, CA 94040-4344
Phone (408) 871-3400

2712 Augustine Dr
Suite 120
Santa Clara, CA 95054-2941
Phone (408) 780-2542

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19663CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Apr 15, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 6, 2022 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
El Camino Health Medical Group PastSince Apr 15, 2024 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2660 Grant Rd
Ste E
Mountain View, CA 94040
Phone (650) 962-4370

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1721 Technology Dr
San Jose, CA 95110
Phone (408) 436-3300

4150 N 1st St
San Jose, CA 95134
Phone (408) 871-5050

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: achen170500@icare.elcaminohospital.org

Organizations & group practices 6

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 6

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1942735873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 TECHNOLOGY DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101305",
            "telephone_number": "408-436-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 TECHNOLOGY DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101305",
            "telephone_number": "408-436-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Ivy St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149051627",
            "country_code": "US",
            "telephone_number": "408-891-8625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANGELA",
        "middle_name": "SHUNZU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Https://careepicwest.kp.org:11430/Interconnect-procalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1721 Technology Dr",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951101305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.