Provider Demographics
NPI:1124991336
Name:CHEN, MATTHEW S (CPO)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:CHEN
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4479 STONERIDGE DR STE A
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8447
Mailing Address - Country:US
Mailing Address - Phone:925-930-7700
Mailing Address - Fax:925-930-7609
Practice Address - Street 1:4479 STONERIDGE DR STE A
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8447
Practice Address - Country:US
Practice Address - Phone:925-930-7700
Practice Address - Fax:925-930-7609
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist