Individual provider Active NPI

Kristen Li Chen, MD

  • Dermatology Physician
  • San Rafael, CA
National Provider Identifier
1952930604
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A193713 Issued in CA
Practice address
5000 Civic Center Dr
San Rafael, CA 94903-4184
Phone
(414) 649-3323
Fax
(415) 499-0290
NPI assigned
Apr 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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
Dermatology Physician 207N00000X A193713 CA Primary

Addresses

Primary practice location

5000 Civic Center Dr
San Rafael, CA 94903-4184

Mailing address

5000 Civic Center Dr
San Rafael, CA 94903-4184
Phone (415) 499-0100

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
I20240705002478 CA Practitioner - Dermatology 6507252699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

Merit-based Incentive Payment System (MIPS)

Final score
78.83 of 100Reported as group
Quality
79.05
Promoting interoperability
76
Improvement activities
40
Cost
70.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of skin lesions1109
Removal or shaving of skin growth71
Skin biopsy396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A193713CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants of Marin Inc Dermatology CurrentSince Aug 18, 2024 Accepting new patients
Regents Univ of California UCSF CurrentSince Jun 20, 2024 Accepting new patients

Locations

75 Rowland Way
Ste 101
Novato, CA 94945
Phone (415) 464-9604

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

5000 Civic Center Dr
San Rafael, CA 94903
Phone (415) 499-0100

Interoperability endpoints

  • Direct secure messaging: kchen366842@direct-ucsfmedicalcenter.org

Organizations & group practices 2

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.

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": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1952930604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CIVIC CENTER DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034184",
            "telephone_number": "415-499-0100",
            "fax_number": "415-499-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CIVIC CENTER DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034184",
            "telephone_number": "414-649-3323",
            "fax_number": "415-499-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KRISTEN",
        "middle_name": "LI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A193713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.