JACK L CHEN (NPI# 1134169139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134169139 |
| Entity Type | Individual |
| Full Name | JACK L CHEN |
| Credential | M.D. |
| Practice Address |
18344 Clark Street Suite 101 Tarzana CA 91356 |
| Mailing Address |
Po Box 16699 Irvine CA 92623-6699 |
| Practice Telephone | 8188819811 |
| Practice Fax Number | 8188811639 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 9492631639 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A62866 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A628660 | 01 |
| CA | 00A628660 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104131895 | Jack Hung Ti Chen | Acupuncturist | 7509 Hellman Ave, Rosemead, CA 91770-2215 | 2010-08-18 |
| 1194883694 | Jack Hanchieh Chen | Dentist | 914 E Garvey Ave, Monterey Park, CA 91755 | 2006-12-05 |
| 1821082389 | Jack P Chen | Internal Medicine | 5670 Peachtree Dunwoody Rd Ste 880, Atlanta, GA 30342-4789 | 2005-09-09 |
| 1457356156 | Jack Chen | Pharmacist | 17224 Rachels Way, Chino Hills, CA 91709-6384 | 2005-06-17 |
| 1104356500 | Jack Chen | Internal Medicine | 3901 Rainbow Blvd # Ms 4032, Kansas City, KS 66160 | 2017-06-18 |
| 1821400367 | Jack Chen | Internal Medicine | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2014-06-02 |
| 1316190531 | Jack Chen | Nurse Practitioner | 710 Lawrence Expressway, Santa Clara, CA 95051 | 2008-10-31 |
| 1669562351 | Jack Chen | Physical Therapist | 17050 Bushard St, Suite 350, Fountain Valley, CA 92708-2832 | 2006-10-13 |
| 1568459683 | Jack Chen | Orthopaedic Surgery | 280 S Main St, Ste 200, Orange, CA 92868-3852 | 2005-10-04 |
| Street Address |
18344 CLARK STREET SUITE 101 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275589079 | Eli J Bendavid | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-05-25 |
| 1376819763 | Brian K. Fenmore, Md Inc | Obstetrics & Gynecology | 18344 Clark Street, Suite 202, Tarzana, CA 91356-3578 | 2012-03-29 |
| 1316978299 | Maged S. Mikhail | Anesthesiology | 18344 Clark Street, Suite #202, Tarzana, CA 91356-2812 | 2006-07-06 |
| 1679513857 | Mark R Rockoff | Nuclear Medicine | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-07 |
| 1548200637 | Richard M Gritz | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-07 |
| 1437198058 | Lawrence W. Chespak | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-06 |
| 1982643508 | Leroy S Clark | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-06 |
| 1861448268 | Jerald P Einziger | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396964615 | Charles E Wexler | Radiology | 19225 Rosita St, Tarzana, CA 91356-4713 | 2007-04-25 |
| 1902939663 | Natalie Beketova | Radiology | 5906 Etiwanda Ave Unit 18, Tarzana, CA 91356-1649 | 2007-03-13 |
| 1275589079 | Eli J Bendavid | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-05-25 |
| 1558753848 | Quantum Medical Radiology of California, PC | Radiology | 3808 Winford Dr, Tarzana, CA 91356-5824 | 2015-02-24 |
| 1730307679 | Universal Rai Diagnostic, Inc. | Radiology | 5906 Etiwanda Ave Unit 18, Tarzana, CA 91356-1649 | 2007-04-24 |
| 1225152267 | Cedars Sinai Imaging Medical Group Apc | Radiology | 18321 Clark St, Tarzana, CA 91356-3501 | 2007-03-16 |
| 1235179219 | David J Rubenstein | Radiology | 18321 Clark St, Tarzana, CA 91356-3501 | 2006-06-07 |
| 1548200637 | Richard M Gritz | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-07 |
| 1437198058 | Lawrence W. Chespak | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-06 |
| 1982643508 | Leroy S Clark | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-06 |
| Find all providers in TARZANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.