NPIMap

Individual provider Active NPI

Randolph A. Chen, MD

  • Nephrology Physician
  • Belmont, CA
National Provider Identifier
1962502872
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A37526 Issued in CA
Practice address
1301 Shoreway Rd
Suite 100
Belmont, CA 94002-4151
Phone
(650) 596-7000
Fax
(650) 596-7093
NPI assigned
Sep 22, 2006
Last updated
May 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A37526 CA Primary

Addresses

Primary practice location

1301 Shoreway Rd
Suite 100
Belmont, CA 94002-4151

Mailing address

1301 Shoreway Rd
Suite 100
Belmont, CA 94002-4151
Phone (650) 596-7000

Other identifiers 1

IdentifierTypeStateIssuer
522236-01MedicaidHI

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
I20080404000145 CA Practitioner - Internal MedicinePractitioner - Nephrology 2264465236 Reassigns benefits to 3 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Burlingame, CA; Daly City, CA; Redwood City, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Mateo Dialysis AssociatesGroup PAC ID 5193719268, 7 clinicians
County of San MateoGroup PAC ID 9032023171, 316 clinicians

Practice addresses (Care Compare)

1750 El Camino Real
Suite 15
Burlingame, CA 94010-3208
Phone (650) 596-7000

22 W 39TH Ave
Hos316Ms
San Mateo, CA 94403-4364

222 W 39TH Ave
San Mateo, CA 94403-4364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73526CAMDPharmacist
A37526CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo Dialysis Associates Nephrology CurrentSince Nov 23, 2014 Accepting new patients
County of San Mateo CurrentSince Nov 15, 2018 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter West Bay Medical Foundation Nephrology Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Satellite Healthcare Inc PastSince Jul 31, 2014 Accepting new patients
Seton Medical Center Past Accepting new patients

Locations

1750 El Camino Real
Ste 15
Burlingame, CA 94010
Phone (650) 570-2273

1783 El Camino Real
Burlingame, CA 94010
Phone (650) 696-5400

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rchen19770@smch.direct-ci.com
  • Direct secure messaging: rchen45898@hisp.ehr.sutterhealth.org

Practitioners & affiliated clinicians

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.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1962502872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHOREWAY RD",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940024151",
            "telephone_number": "650-596-7000",
            "fax_number": "650-596-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHOREWAY RD",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940024151",
            "telephone_number": "650-596-7000",
            "fax_number": "650-596-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "RANDOLPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A37526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522236-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

Verify at the official NPI Registry.