DR. RANDOLPH A. CHEN (NPI# 1962502872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962502872 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH A. CHEN |
| Credential | MD |
| Practice Address |
1301 Shoreway Rd Suite 100 Belmont CA 94002-4151 |
| Practice Telephone | 6505967000 |
| Practice Fax Number | 6505967093 |
| Mailing Telephone | 6505967000 |
| Mailing Fax Number | 6505967093 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A37526 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 522236-01 | 05 |
| Street Address |
1301 SHOREWAY RD SUITE 100 |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720009673 | Elizabeth Kocot | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-07-23 |
| 1801196605 | Gulpana M Mohammad | Family Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002 | 2010-10-26 |
| 1740429182 | Chw Medical Foundation | Clinic/Center | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2009-02-09 |
| 1336315241 | Elizabeth Soda | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2008-05-01 |
| 1003081357 | Jesse Julian Waggoner | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2008-04-28 |
| 1215108204 | Select Physical Therapy Holdings Inc | Durable Medical Equipment & Medical Supplies | 1301 Shoreway Rd, Number 280, Belmont, CA 94002-4151 | 2008-03-18 |
| 1568668234 | Lynda Ann Mackin | Nurse Practitioner | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2007-06-21 |
| 1780772376 | Adil K Jadallah | Family Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-10-10 |
| 1518970409 | Gary A Greensweig | Family Medicine | 1301 Shoreway Rd, Ste. 100, Belmont, CA 94002-4151 | 2006-08-14 |
| 1174531859 | Dignity Health Medical Foundation | Clinic/Center | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
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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.