DR. JERRY SHANG CHEN M.D.
NPI 1760643837
Student in an Organized Health Care Education/Training Program in Palo Alto, CA

Q: What is Jerry Chen's NPI number?

The NPI number for Jerry Chen is 1760643837. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Q: What is Jerry 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 Jerry Chen was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 22, 2008PECOS Enrolled

1160 CLARK WAY, PALO ALTO, CA 94304(260) 438-1320 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jerry Shang Chen M.d. NPPES

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

DR. JERRY SHANG CHEN M.D. (NPI 1760643837) is an individual student in an organized health care education/training program in Palo Alto, California and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760643837

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JERRY SHANG CHENCredential: M.D.

Location Address1160 CLARK WAYPalo Alto, CA 94304-2373

Mailing Address1160 Clark WayPalo Alto, CA 94304-2373 · (260) 438-1320

Phone(260) 438-1320

Sole ProprietorYes

Enumeration DateJune 22, 2008

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1760643837 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.

1160 CLARK WAY, Palo Alto, CA 94304

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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)

Dr. Jerry Shang Chen M.d. 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.

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 Jerry Chen's NPI number?

The NPI number for Jerry Chen is 1760643837. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Jerry Chen located?

Jerry Chen practices at 1160 Clark Way, Palo Alto, CA 94304. The listed phone number is (260) 438-1320.

What is Jerry Chen's specialty?

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

Is Jerry Chen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jerry Chen was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.