RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION (NPI# 1003000563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003000563 |
Entity Type | Organization |
Organization Name | RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION |
Practice Address |
729 Sunrise Ave Ste 619 Roseville CA 95661-4548 |
Practice Telephone | 9167837118 |
Mailing Telephone | 9167837118 |
Enumeration Date | 2007-08-28 |
Last Update Date | 2014-04-24 |
Authorized Official Name | MR. RICHARD B. CHUN (PRESIDENT) |
Authorized Official Telephone | 9167837118 |
Authorized Official Credential | M. D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C28231 | CA | Allopathic & Osteopathic Physicians |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
C28231 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD | 00C282310 | 01 |
CA | 00C282310 | 05 | |
CA | RAILROAD MEDICARE-PGBA | 110233272 | 01 |
CA | BLUE CROSS | C28231 | 01 |
Street Address |
729 SUNRISE AVE STE 619 |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-4548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235131301 | Alan A Semion | Specialist | 729 Sunrise Ave, #700, Roseville, CA 95661-4565 | 2005-08-10 |
1760082325 | Ashley Charmagne Jordan | Counselor | 729 Sunrise Ave, Roseville, CA 95661-4565 | 2020-10-31 |
1366801193 | Ashley Marie Ongjoco | Nurse Practitioner | 729 Sunrise Ave, Roseville, CA 95661-4565 | 2016-02-22 |
1558720177 | Northern California Orthopaedic Associates Corp | Orthopaedic Surgery | 729 Sunrise Ave, Suite 601, Roseville, CA 95661-4565 | 2016-02-11 |
1881020253 | Doctors In Inc | Internal Medicine | 729 Sunrise Ave, Suite 612, Roseville, CA 95661-4565 | 2013-09-17 |
1427482595 | Catherine C. Fisher | Social Worker | 729 Sunrise Ave, Suite 101, Roseville, CA 95661-4565 | 2013-08-26 |
1174871933 | Marilyse Ann Ryan | Physician Assistant | 729 Sunrise Ave, # 900, Roseville, CA 95661-4565 | 2012-08-27 |
1801143102 | Quality Medical-roseville, PC | Internal Medicine | 729 Sunrise Ave, Suite 610, Roseville, CA 95661-4565 | 2012-08-07 |
1467720474 | William Raymond Mcvicker | Marriage & Family Therapist | 729 Sunrise Ave, Suite 601, Roseville, CA 95661-4565 | 2011-12-05 |
1548569627 | Maribeth Noxon | Nurse Practitioner | 729 Sunrise Ave, Suite 604, Roseville, CA 95661-4565 | 2011-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
Find all providers in zip 95661 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750560173 | Maninder K. Powar M.d.inc | Clinic/Center | 406 Sunrise Ave # 210, Roseville, CA 95661-4106 | 2007-11-01 |
1194877399 | Lo Medical Clinic | Clinic/Center | 2353 Rice St Ste 210, Roseville, MN 55113-3721 | 2007-01-17 |
1275647737 | Roseville Pediatric Medical Group, Inc | Clinic/Center | 1098 Sunrise Ave Ste 100, Roseville, CA 95661-4469 | 2006-08-19 |
1437707387 | Kelada Physicians Group, Inc | Clinic/Center | 680 Sunrise Ave, Roseville, CA 95661-4110 | 2019-09-03 |
1417497173 | Paul Kramer Md | Clinic/Center | 1098 Sunrise Ave, Suite 100, Roseville, CA 95661-4467 | 2017-02-28 |
1255737110 | Anna P. Abalos, M.d., Inc. | Clinic/Center | 701 Pleasant Grove Blvd, Suite 125, Roseville, CA 95678-6156 | 2014-11-05 |
1326383704 | Acupuncture Medical Center, A Professional Corporation | Clinic/Center | 151 N Sunrise Ave, Suite 1009, Roseville, CA 95661-2924 | 2012-12-11 |
1467714550 | Steven Elsea Chiropractic, Inc | Clinic/Center | 605 Oak St, Roseville, CA 95678-3224 | 2012-06-13 |
1760789259 | Optage Primary Care, LLC | Clinic/Center | 2845 Hamline Ave N, Roseville, MN 55113-7127 | 2011-02-17 |
1225116627 | Chia Y. Chou, Md Inc. | Clinic/Center | 1212 Coloma Way Ste A, Roseville, CA 95661-4646 | 2006-11-02 |
Find all providers in ROSEVILLE |
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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.