Individual provider Active NPI

Feng Chen, MD

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1982285268
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
333233 Issued in NY
Practice address
1870 Lundy Ave
San Jose, CA 95131-1826
Phone
(415) 391-9686
NPI assigned
Apr 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 333233 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1870 Lundy Ave
San Jose, CA 95131-1826

Mailing address

14211 Oak Ave
Flushing, NY 11355-3560
Phone (718) 666-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241120003640 CA Practitioner - Family Practice 7416482914 Reassigns benefits to 1 organization
I20260102002448 NV Practitioner - Family Practice 7416482914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North East Medical ServicesGroup PAC ID 4284520529, shared by 23 NPIs, 143 clinicians

Practice addresses (Care Compare)

211 Eastmoor Ave
Daly City, CA 94015-2036
Phone (415) 391-9686

5580 W Flamingo Rd
Suite 105
Las Vegas, NV 89103-0165
Phone (650) 550-3923

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
333233NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Dec 1, 2024 Accepting new patients
North East Medical Services Current Accepting new patients
North East Medical Services CurrentSince Dec 3, 2025 Accepting new patients
North East Medical Services CurrentSince Dec 1, 2024 Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

5580 W Flamingo Rd
Ste 105
Las Vegas, NV 89103
Phone (650) 550-3923

Interoperability endpoints

  • Direct secure messaging: fchen18436@prd.direct.tbh.org

Organizations & group practices 4

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": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1982285268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14211 OAK AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553560",
            "telephone_number": "718-666-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 LUNDY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311826",
            "telephone_number": "415-391-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "FENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "333233",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.