RICHARD B. D. CHUN (NPI# 1003818055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003818055 |
| Entity Type | Individual |
| Full Name | RICHARD B. D. CHUN |
| Credential | M.D. |
| Practice Address |
1101 Smith Ln Roseville CA 95661-4103 |
| Mailing Address |
729 Sunrise Ave Suite 619 Roseville CA 95661-4548 |
| Practice Telephone | 9164072222 |
| Practice Fax Number | 9167970343 |
| Mailing Telephone | 9167837118 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C28231 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | 952587937 | 01 |
| CA | BLUE SHIELD | 00C282310 | 01 |
| CA | 00C282310 | 05 | |
| CA | BLUE CROSS | C28231 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 729 Sunrise Ave, Ste 619, Roseville, CA 956614548 | 9167837118 |
| Street Address |
1101 SMITH LN |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660865 | Wellspace Health | Clinic/Center | 1101 Smith Ln, Roseville, CA 95661-4103 | 2018-02-22 |
| 1144505835 | Lisa Taylor | Nurse Practitioner | 1101 Smith Ln, Roseville, CA 95661-4103 | 2011-10-13 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114001104 | David J. Pompa | Internal Medicine | 5 Medical Plaza Dr Ste 140, Roseville, CA 95661 | 2006-10-25 |
| 1366418006 | Anand Madan | Internal Medicine | 4 Medical Plaza Dr Ste 205, Roseville, CA 95661-2815 | 2006-02-23 |
| 1003000563 | Richard B. D. Chun, M.d. Professional Corporation | Internal Medicine | 729 Sunrise Ave, Ste 619, Roseville, CA 95661-4548 | 2007-08-28 |
| 1720283625 | Rahul Singh Dhillon | Internal Medicine | 5 Medical Plaza Dr, Suite 140, Roseville, CA 95661 | 2007-06-19 |
| 1700912318 | Ronald Hsu | Internal Medicine | 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815 | 2007-02-26 |
| 1578699104 | Jasbir Rangi | Internal Medicine | 4 Medical Plaza Dr Ste 205, Roseville, CA 95661-2815 | 2007-02-26 |
| 1215063862 | Theodor Feinstat | Internal Medicine | 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815 | 2007-02-26 |
| 1255467809 | Khosrow Nasr | Internal Medicine | 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815 | 2007-02-26 |
| 1982744942 | William K.y. Chen | Internal Medicine | 5 Medical Plaza Dr Ste 140, Roseville, CA 95661-2866 | 2007-02-07 |
| 1669512687 | Randell Vallero | Internal Medicine | 4 Medical Plaza Dr Ste 205, Roseville, CA 95661-2815 | 2007-02-07 |
| 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.