Individual provider Active NPI

Xin Chen

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1982315412
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126870 Issued in CA
Practice address
1870 Lundy Ave
San Jose, CA 95131-1826
Phone
(408) 573-9686
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 126870 CA
Clinical Social Worker 1041C0700X 126870 CA Primary

Addresses

Primary practice location

1870 Lundy Ave
San Jose, CA 95131-1826

Mailing address

1870 Lundy Ave
San Jose, CA 95131-1826

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241204001825 CA Practitioner - Clinical Social Worker 4183150949 Reassigns benefits to 1 organization
I20251110002529 NV Practitioner - Clinical Social Worker 4183150949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2171 Juniperro Serra Blvd
Suite 260
Daly City, CA 94014

PO Box
Suite 3306
Daly City, CA 94015-0306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126870CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Sep 16, 2025 Accepting new patients
North East Medical Services Current Accepting new patients
North East Medical Services CurrentSince Nov 1, 2024 Accepting new patients
North East Medical Services CurrentSince Nov 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

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": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1982315412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 LUNDY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311826"
        },
        {
            "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": "408-573-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "XIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "126870",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.