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DR. CHARLIE CHEN M.D.
NPI 1861717647
Surgery - Plastic and Reconstructive Surgery in San Diego, CA

Active since April 05, 2010CLIA 05D2335402 · Waiver
3399 1ST AVE, SAN DIEGO, CA 92103(858) 255-1538 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 21, 2022, Aug 3, 2020, Apr 22, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Charlie Chen M.d. NPPES

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

DR. CHARLIE CHEN M.D. (NPI 1861717647) is an individual plastic and reconstructive surgery provider in San Diego, California, licensed in California (A130163) and active in the NPI registry since April 2010. He holds a CLIA Waiver certificate valid through December 9, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861717647
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. CHARLIE CHENCredential: M.D.
Location Address3399 1ST AVESan Diego, CA 92103-5601
Mailing Address3399 1st AveSan Diego, CA 92103-5601 · (858) 255-1538
Phone(858) 255-1538
Sole ProprietorYes
Enumeration DateApril 5, 2010
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1861717647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in CA · A130163✔ Licensed in NC · 2017-00114
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3399 1ST AVE, San Diego, CA 92103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111208 Statesville Rd Ste 300Huntersville, NC 28078-7637 · Phone (704) 659-9000
Location 27695 Cardinal Ct Ste 390San Diego, CA 92123 · Phone (858) 255-1538

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: Name 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
CHARLIE CHEN, M.D., CORP.
Clinic/Center
3399 1ST AVE
SAN DIEGO, CA 92103
San Diego County (858) 255-1538
THOMAS R VECCHIONE MD A PROFESSIONAL CORPORATION
Clinic/Center (Ambulatory Surgical)
3399 1ST AVE
SAN DIEGO, CA 92103
San Diego County (619) 297-4433

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's NPI number?

The NPI number for Charlie Chen is 1861717647. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Charlie Chen located?

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

What is Charlie Chen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Does Charlie Chen 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 was last updated on July 21, 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.