Active NPI
Diana Chen, OD
- Optometrist
- Walnut Creek, CA
National Provider Identifier
1962989863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34271
- Practice address
- 1855 San Miguel Dr Ste 28
Walnut Creek, CA 94596-5298 - Phone
- (925) 935-8820
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9524TG | TX | |
| Optometrist | 152W00000X | 34271 | CA | Primary |
Addresses
Primary practice location
1855 San Miguel Dr Ste 28
Walnut Creek, CA 94596-5298
Mailing address
1855 San Miguel Dr Ste 28
Walnut Creek, CA 94596-5298
Phone (925) 935-8820
Other practice location 1
4901 Calhoun Rd
Houston, TX 77204-2020
Phone (713) 743-2020
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
967 E Hillsdale Blvd
Foster City, CA 94404-2112
Phone (650) 573-6245
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34271 | CA | MD | Optometrist |
| 9524TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Chen OD, a Professional Corporation | Optometrist | Current | Accepting new patients |
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.
-
- Optometrist
- Foster City, CA
- NPI 1619372166
-
- Optometrist
- San Francisco, CA
- NPI 1487416715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1962989863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 SAN MIGUEL DR STE 28",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965298",
"telephone_number": "925-935-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 SAN MIGUEL DR STE 28",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965298",
"telephone_number": "925-935-8820"
}
],
"practiceLocations": [
{
"address_1": "4901 Calhoun Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "772042020",
"country_code": "US",
"telephone_number": "713-743-2020",
"fax_number": "713-743-0963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "DIANA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9524TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.