DR. KENNETH PENGYU CHEN (NPI# 1720472657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720472657 |
| Entity Type | Individual |
| Full Name | DR. KENNETH PENGYU CHEN |
| Credential | M.D. |
| Practice Address |
9300 Campus Point Drive La Jolla CA 92037 |
| Mailing Address |
9300 Campus Point Drive La Jolla CA 92037-7381 |
| Practice Telephone | 8586577118 |
| Mailing Telephone | 8586577118 |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2018-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9300 Campus Point Drive, La Jolla, CA 92037 | 8586577118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205027968 | Kenneth George Chen | Dentist | 225 Copper Oak Ct, Apopka, FL 32703-1316 | 2007-08-07 |
| 1598831331 | Kenneth Kuang- Lung Chen | Acupuncturist | 2827 W Avenue L, Lancaster, CA 93536-4021 | 2006-11-24 |
| 1881794881 | Kenneth Chen | Pediatrics | 2213 A Exchange Place, Conyers, GA 30013-6723 | 2006-09-22 |
| 1902883010 | Kenneth H Chen | Obstetrics & Gynecology | 200 Campbell Dr, Ste 101, Willingboro, NJ 08046-1067 | 2005-12-29 |
| 1558985549 | Kenneth Chen | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2020-06-04 |
| 1265689442 | Kenneth Chen | Internal Medicine | 711 Fairmount Ave, Pasadena, CA 91105-3103 | 2008-08-19 |
| 1457517260 | Kenneth Chen | Internal Medicine | 101 Dudley St, Providence, RI 02905-2401 | 2008-07-31 |
| 1346430741 | Kenneth Sung-man Chen | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-07-31 |
| 1518045160 | Kenneth Y. Chen | Anesthesiology | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2006-11-01 |
| 1205911971 | Kenneth K. Chen | Internal Medicine | 901 Nevin Ave, Richmond, CA 94801-3143 | 2006-10-25 |
| Street Address |
9300 CAMPUS POINT DRIVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578504932 | Elaine M Sapiro | Emergency Medicine | 9300 Campus Point Drive, La Jolla, CA 92037 | 2006-06-09 |
| 1699302901 | Renee Sullender | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc 7433, La Jolla, CA 92037 | 2020-03-25 |
| 1346880937 | Linda Dean | Pharmacist | 9300 Campus Point Drive, Pharmacy Department Mail Code 7765, La Jolla, CA 92037-1300 | 2020-01-10 |
| 1609308162 | Lydia Russell-roy | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc 7433, La Jolla, CA 92037-7433 | 2017-04-03 |
| 1508286964 | Antonie Meixel | Pediatrics | 9300 Campus Point Drive, Mc 7774, La Jolla, CA 92037-1300 | 2014-04-23 |
| 1619396348 | Nicholas Brian Coley | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Eastern Campus Office Building, La Jolla, CA 92121 | 2014-04-09 |
| 1558603654 | Christine Choi | Anesthesiology | 9300 Campus Point Drive, La Jolla, CA 92093-2621 | 2013-03-27 |
| 1104972975 | Ann C Rearden | Pathology | 9300 Campus Point Drive, Mc 0612, La Jolla, CA 92037-0612 | 2007-01-26 |
| 1174603732 | Michael C Young | Emergency Medicine | 9300 Campus Point Drive, La Jolla, CA 92037 | 2006-10-17 |
| 1740374578 | Leslie C Oyama | Emergency Medicine | 9300 Campus Point Drive, La Jolla, CA 92037 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343539 | Nicki Mashayekan | Student in an Organized Health Care Education/Training Program | 2745 Costebelle Dr, La Jolla, CA 92037-3518 | 2019-08-27 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1003471939 | Hana Marie Russo | Student in an Organized Health Care Education/Training Program | Uc San Diego School of Medicine 9500 Gilman Drive, La Jolla, CA 92093-0001 | 2019-05-06 |
| 1770146813 | Estefania Fernandez | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, Mc 7433, La Jolla, CA 92037-7433 | 2019-04-15 |
| 1538629258 | Lauren Elizabeth Stone | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr # 7893, La Jolla, CA 92037-1300 | 2019-03-20 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1164900866 | Sherin Hashem | Student in an Organized Health Care Education/Training Program | 9444 Medical Center Drive Pathology Department, La Jolla, CA 92093-0001 | 2018-08-03 |
| 1598252355 | Morrison Mansour Steel | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr # 851, La Jolla, CA 92093-0851 | 2018-04-17 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1912404492 | Monica Cory Federoff | Student in an Organized Health Care Education/Training Program | Department of Psychiatry Ucsd 9500 Gilman Drive, La Jolla, CA 92093-4131 | 2018-04-10 |
| Find all providers in LA JOLLA | ||||
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| 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.