Active NPI
Jeffrey Wei-En Chen, DO
- Family Medicine Physician
- Woodland Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A15930
- Practice address
- 6344 Topanga Canyon Blvd Ste 2040
Woodland Hills, CA 91367-2362 - Phone
- (818) 610-0292
- Fax
- (818) 610-0293
- NPI assigned
- Jul 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20A15930 | CA | |
| Family Medicine Physician | 207Q00000X | 20A15930 | CA | Primary |
Addresses
Primary practice location
6344 Topanga Canyon Blvd Ste 2040
Woodland Hills, CA 91367-2362
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A15930 | Other | CA | STATE LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15930 | CA | MD | Mental Health Counselor |
| 20A15930 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisenhower Medical Center | Current | Accepting new patients | |
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients |
Locations
11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
45280 Seeley Dr
Fl 2
La Quinta, CA 92253
Phone (760) 834-7920
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754
Interoperability endpoints
- jchen828824@direct.uclahealth.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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1629384615
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1780989277
-
- Family Medicine Physician
- Montebello, CA
- NPI 1316341530
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962924985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6344 TOPANGA CANYON BLVD STE 2040",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913672362",
"telephone_number": "818-610-0292",
"fax_number": "818-610-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JEFFREY",
"middle_name": "WEI-EN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-11",
"last_updated": "2023-03-07",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "20A15930",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A15930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "20A15930",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.