JACK L CHEN M.D. NPI 1134169139

NPI Information

  • NPI: 1134169139
  • Provider Name: JACK L CHEN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18344 CLARK STREET
    SUITE 101
    TARZANA, CA
    ZIP 91356
  • Phone: (818) 881-9811

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NPI Details

Jack L Chen, M.D. is a diagnostic radiology radiology in Tarzana, CA with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jack L Chen, M.D. NPI is 1134169139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:1995

The provider's business location address is:

18344 CLARK STREET
SUITE 101
TARZANA, CA
ZIP 91356
Phone: (818) 881-9811
Fax: (818) 881-1639

The NPI 1134169139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound scan of chest (HCPCS:76604)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • X-ray of shoulder, 1 view (HCPCS:73020)
  • Mri scan of blood vessels of neck without contrast (HCPCS:70547)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)

The enumeration date for this NPI number is 6/7/2006 and was last updated on 11/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA62866ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WA62866FMEDICARE PINCALIFORNIA
200A628660MEDICAIDCALIFORNIA
3WG62866BMEDICARE PINCALIFORNIA
4WA62866GMEDICARE PINCALIFORNIA
5P00238976MEDICARE PINCALIFORNIA
6H16518MEDICARE UPIN
700A628660OTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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