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SU SIN CHEN M.D., PH.D.
NPI 1720162167
General Practice in Los Angeles, CA

Active since October 24, 2006PECOS Enrolled
4880 HUNTINGTON DR S, LOS ANGELES, CA 90032(323) 826-7388(323) 826-7128 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2022, Feb 22, 2022, Jan 10, 2020 (3 updates tracked since 2020).

About Su Sin Chen M.d., Ph.d. NPPES

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

SU SIN CHEN M.D., PH.D. (NPI 1720162167) is an individual general practice provider in Los Angeles, California, licensed in California (C56122) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1720162167
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSU SIN CHENCredential: M.D., PH.D.
Location Address4880 HUNTINGTON DR SLos Angeles, CA 90032-1945
Mailing Address918 N Stoneman Ave Apt DAlhambra, CA 91801-1428 · (713) 409-7310
Phone(323) 826-7388
Fax(323) 826-7128
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 24, 2006
Last NPPES UpdateNovember 22, 20223 updates tracked since enumeration
NPPES CertifiedMarch 14, 2022
✔ NPI 1720162167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · C56122
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPathology · Molecular Genetic PathologyTaxonomy 207ZP0007X · License C56122 (CA)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License C56122 (CA)
4880 HUNTINGTON DR S, Los Angeles, CA 90032
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Secondary Practice Locations 2

Location 13408 N Eastern AveLos Angeles, CA 90032-1934 · Phone (713) 409-7310
Location 23017 Telegraph Ave Ste 100Berkeley, CA 94705-2049 · Phone (713) 409-7310

Other Identifiers 2

Medicaid194308601TX
Other8U6104TX · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Su Sin Chen M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567564701
PECOS Enrollment IDI20220304001973
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Su Chen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genora Health Inc
Same address
Primary Care
4880 HUNTINGTON DR S
Los Angeles, CA 90032
  • Reassigned Medicare billing, California enrollment
NPI 1932857448 (713) 409-7310
Complete Care Community Health Center, Inc
3.2 mi
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
2928 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 88 clinicians in this Medicare group
NPI 1215113964 (323) 266-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

GENORA HEALTH INC
Clinic/Center (Primary Care)
4880 HUNTINGTON DR S
LOS ANGELES, CA 90032
Los Angeles County (713) 409-7310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Su Chen's NPI number?

The NPI number for Su Chen is 1720162167. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Su Chen located?

Su Chen practices at 4880 Huntington Dr S, Los Angeles, CA 90032. The listed phone number is (323) 826-7388.

What is Su Chen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Su Chen enrolled in Medicare?

Yes. Su Chen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Su Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Su Chen reassigns Medicare benefits to 2 organizations: Genora Health Inc (Los Angeles, CA) and Complete Care Community Health Center, Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Su Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Su Chen was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.