Frederick Wen Kang Chen, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A25253 Issued in CA

Practice address

243 Green Valley Rd Suite #E
Freedom, CA 95019

Phone

(831) 728-1410

Fax

(831) 728-2076

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Frederick W.K. Chen

  • Gastroenterology Physician
  • Freedom, CA
  • NPI 1255510350
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962539585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 GREEN VALLEY RD SUITE #E",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "95019",
            "telephone_number": "831-728-1410",
            "fax_number": "831-728-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 GREEN VALLEY RD SUITE #E",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "95019",
            "telephone_number": "831-728-1410",
            "fax_number": "831-728-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "FREDERICK",
        "middle_name": "WEN KANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A25253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Pardue Bunch, MD
• Central Coast Endoscopy Center Inc
• Dennis James Chamberlain, MD
• Aimee C. Chang, MD
• Peilin Chang, MD
• Siyi Chen, PHARM. D
• Shannon Nicol Clasen, MSN, APRN, FNP-C
• Clyne & Hsu Medical Group Inc (Pediatric Medical Group of Watsonville)
• Patrick Stephen Clyne, MD
• Coastal Eye Associates, a Medical Corporation

• Gastroenterology Physician in Freedom, CA
• Providers in Freedom, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.