MS. JACQUELINE CHEN - NPI 1194251777 - Student in an Organized Health Care Education/Training Program in Oakland, CA

Q: What is Jacqueline Chen's NPI number?

The NPI number for Jacqueline Chen is 1194251777. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Q: What is Jacqueline Chen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Chen was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Jacqueline Chen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE CHEN (NPI 1194251777) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194251777

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMS. JACQUELINE CHEN

Location Address747 52ND ST RM 245Oakland, CA 94609-1809

Mailing Address747 52nd St Rm 245Oakland, CA 94609-1809 · (510) 428-3331 · Fax (510) 601-3979

Phone(510) 428-3331

Fax(510) 601-3979

Sole ProprietorNo

Enumeration DateMay 3, 2017

Last NPPES UpdateDecember 21, 2021

✔ NPI 1194251777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

747 52ND ST RM 245, Oakland, CA 94609

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jacqueline Chen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE LANDE MD

Pediatrics