DR. CLAYTON CHEN (NPI# 1598837569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598837569 |
Entity Type | Individual |
Full Name | DR. CLAYTON CHEN |
Credential | M.D. |
Practice Address |
60mdg/sgqx 101 Bodin Circle Travis Afb CA 94535-1800 |
Mailing Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
Practice Telephone | 7074237691 |
Mailing Telephone | 7074237691 |
Mailing Fax Number | 7074237697 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2019-05-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
16767 | HI | Allopathic & Osteopathic Physicians |
N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
47486 | MN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
227 Mahalani St, Radiation Oncology, Wailuku, HI 967932526 | 8082422600 | 8082422626 |
Street Address |
60MDG/SGQX 101 BODIN CIRCLE |
City | TRAVIS AFB |
State | CA |
Zip Code | 94535-1800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184943789 | Nathan Ross Kelsey | Radiology | 60mdg/sgqx, 101 Bodin Cir, Travis Afb, CA 94535-1800 | 2010-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
Find all providers in zip 94535 |
Taxonomy Code | 2085R0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Therapeutic Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831692243 | Joseph Vernon Hodgkins | Radiology | 5901 E 7th St Bldg 165, Long Beach, CA 90822-5201 | 2018-03-12 |
1225296676 | Dwight Raymond Stickney | Radiology | 5275 Ashby Ln, Granite Bay, CA 95746-9425 | 2008-06-01 |
1487811824 | Brian D. Berger, Md, Pa | Radiology | 1341 David St, #111, San Mateo, CA 94403-1916 | 2008-05-22 |
1174664890 | John Charles Clark | Radiology | 1325 Bambury Ct, Redding, CA 96001-1339 | 2007-02-08 |
1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
1609842392 | Harvey S Frey | Radiology | 552 12th St, Santa Monica, CA 90402-2908 | 2006-02-23 |
1356322705 | Florian H Ploch | Radiology | 1020 Nut Tree Rd, #190, Vacaville, CA 95687-4100 | 2005-11-10 |
1922091263 | Victor G Schweitzer | Radiology | 2985 Sycamore Dr, Simi Valley, CA 93065-1201 | 2005-08-23 |
1528460334 | Reinhard Wilhelm Schulte | Radiology | 9834 Genesee Ave, Suite 110, La Jolla, CA 92037-1223 | 2014-09-23 |
1659787596 | Jay Gerard Tassin | Radiology | 675 Camino De Los Mares, Suite 400, San Clemente, CA 92673-2835 | 2014-07-10 |
Find all providers with the same taxonomy |
City | TRAVIS AFB |
Zip Code | 94535 |
Please comment or provide details below to improve the information on DR. CLAYTON CHEN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.