Healthcare Provider Details

I. General information

NPI: 1861931933
Provider Name (Legal Business Name): TING CHEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 PARNASSUS AVE
SAN FRANCISCO CA
94143-2205
US

IV. Provider business mailing address

995 POTRERO AVE. BLDG. 80, WARD 86, FL. 6
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-9362
  • Fax:
Mailing address:
  • Phone: 628-206-2400
  • Fax: 628-206-7514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number308553
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP95025315
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: