Individual provider Active NPI

Elaine L Chen, PA-C

  • Medical Physician Assistant
  • South Pasadena, CA
National Provider Identifier
1962968032
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA56541 Issued in CA
Practice address
625 Fair Oaks Ave Ste 175
South Pasadena, CA 91030-2683
Phone
(626) 598-3770
Fax
(626) 598-3797
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA56541 CA Primary

Addresses

Primary practice location

625 Fair Oaks Ave Ste 175
South Pasadena, CA 91030-2683

Mailing address

625 Fair Oaks Ave Ste 175
South Pasadena, CA 91030-2683
Phone (626) 598-3770

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110001818 CA Practitioner - Physician Assistant 2163892001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Coast Neurology, IncGroup PAC ID 6204067010, 15 clinicians

Practice addresses (Care Compare)

612 W Duarte Rd
Suite 305
Arcadia, CA 91007-9229
Phone (626) 598-3770

625 Fair Oaks Ave
Suite 175
South Pasadena, CA 91030-2683
Phone (626) 598-3770

630 S Raymond Ave
Unit 310
Pasadena, CA 91105-3206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA56541CAMDMedical Physician Assistant

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elainechen@wcn.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1962968032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 175",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302683",
            "telephone_number": "626-598-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 175",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302683",
            "telephone_number": "626-598-3770",
            "fax_number": "626-598-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ELAINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA56541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.