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CHARLIE CHEN, M.D., CORP.
NPI 1740844745
Clinic/Center in San Diego, CA

Active since April 24, 2019CLIA 05D2335402 · Waiver
3399 1ST AVE, SAN DIEGO, CA 92103(858) 255-1538 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2020, Aug 1, 2020, Apr 24, 2019 (3 updates tracked since 2019).

About Charlie Chen, M.d., Corp. NPPES

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

CHARLIE CHEN, M.D., CORP. (NPI 1740844745) is a healthcare organization registered as a clinic/center in San Diego, California and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Charlie Chen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740844745
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHARLIE CHEN, M.D., CORP.
Location Address3399 1ST AVESan Diego, CA 92103-5601
Mailing Address11 BalconyIrvine, CA 92603-4237 · (310) 210-9220
Phone(858) 255-1538
Organization SubpartNo
Authorized OfficialCharlie ChenCeo · (310) 210-9220
Enumeration DateApril 24, 2019
Last NPPES UpdateNovember 30, 20203 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1740844745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3399 1ST AVE, San Diego, CA 92103
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2335402

Charlie Chen, MD, Corp · San Diego, CA
Active · expires Dec 9, 2027
CLIA Number05D2335402
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorCharlie Chen
Laboratory Phone(858) 255-1538
Laboratory LocationCharlie Chen, MD, Corp4101 Voltaire St, San Diego, CA 92107
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. KELLIE R SATTERFIELD M.D.
Ophthalmology
3399 1ST AVE
SAN DIEGO, CA 92103
San Diego County (858) 284-0608
SAN DIEGO EYE AND FACE
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3399 1ST AVE
SAN DIEGO, CA 92103
San Diego County (858) 284-0608
THOMAS R VECCHIONE MD A PROFESSIONAL CORPORATION
Clinic/Center (Ambulatory Surgical)
3399 1ST AVE
SAN DIEGO, CA 92103
San Diego County (619) 297-4433
DR. CHARLIE CHEN M.D.
Surgery (Plastic and Reconstructive Surgery)
3399 1ST AVE
SAN DIEGO, CA 92103
San Diego County (858) 255-1538

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 Charlie Chen, M.D., Corp.'s NPI number?

The NPI number for Charlie Chen, M.D., Corp. is 1740844745. It was assigned to this organization in the NPPES registry on April 24, 2019.

Where is Charlie Chen, M.D., Corp. located?

Charlie Chen, M.D., Corp. is located at 3399 1st Ave, San Diego, CA 92103. The listed phone number is (858) 255-1538.

What is Charlie Chen, M.D., Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Charlie Chen, M.D., Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2335402) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charlie Chen, M.D., Corp. was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.