BENJAMIN CHUNG


Address: 4500 Brockton Ave, Suite 306, Riverside, CA 92501-4090
Phone: 9513210100

BENJAMIN CHUNG (NPI# 1326031923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326031923
Entity Type Individual
Full Name BENJAMIN CHUNG
Credential MD
Practice Address 4500 Brockton Ave
Suite 306
Riverside
CA 92501-4090
Mailing Address 420 N Mckinley St
111-616
Corona
CA 92879-6504
Practice Telephone 9513210100
Practice Fax Number 9513210131
Mailing Telephone 9513210100
Mailing Fax Number 9513210131
Enumeration Date 2005-08-30
Last Update Date 2011-11-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine G70147 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G701470 05

Other Providers BENJAMIN CHUNG

NPI Name Taxonomy Address Enumeration
1811183528 Benjamin Chung Dentist 16 Beach Road, East Orleans, MA 02643 2007-09-18
1205945920 Benjamin Inbeh Chung Urology 300 Pasteur Dr, Stanford, CA 94305-2200 2006-08-29

Office Location

Street Address 4500 BROCKTON AVE
SUITE 306
City RIVERSIDE
State CA
Zip Code 92501-4090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699770974 Jan Paul Maddox Pain Medicine 4500 Brockton Ave, Ste 305, Riverside, CA 92501-4028 2005-06-14
1831656578 Lucyana Magrietta Panjaitan Nurse Practitioner 4500 Brockton Ave, Riverside, CA 92501-4090 2019-02-28
1518401546 Faculty Physicians and Surgeons of Llusm Physician Assistant 4500 Brockton Ave, Ste 201, Riverside, CA 92501-4090 2016-12-09
1396108940 Thaker Urological Center, Inc. Specialist 4500 Brockton Ave, Suite 204, Riverside, CA 92501-4090 2016-03-31
1063874337 Mission Urology, Inc. Internal Medicine 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027 2016-03-24
1558759969 Mid-valley Surgicenter Inc Clinic/Center 4500 Brockton Ave, Suite 105, Riverside, CA 92501-4090 2015-01-07
1306254669 Jocelyn Cases Nurse Practitioner 4500 Brockton Ave, Suite 315, Riverside, CA 92501-4090 2014-07-30
1841530169 Jennifer Lynn Gilden Physician Assistant 4500 Brockton Ave, Riverside, CA 92501-4090 2013-02-22
1275881609 Sri Gorty M.d. Inc Radiology 4500 Brockton Ave, 101, Riverside, CA 92501-4090 2012-08-15
1780931709 Munther Alqaisi M.d. A Professional Medical Corporation Radiology 4500 Brockton Ave, 101, Riverside, CA 92501-4090 2012-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700437605 Mary Horvatin Technician 1811 Rivera Strret, Riverside, CA 92501 2019-09-23
1366905473 Timothy Daniel Collins Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 2019-04-08
1346709672 Lourdes Adame Student in an Organized Health Care Education/Training Program 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 2019-03-16
1740759067 Kristina Ferris-celosse Counselor 2452 Wilshire St., Riverside, CA 92501 2018-11-15
1750888095 Arunmozhi Aravagiri Student in an Organized Health Care Education/Training Program Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 2018-04-12
1720585847 Alan Huynh Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 2018-04-06
1538664834 Wilson Paul Frasca Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue, Riverside, CA 92501 2018-03-28
1851896575 Geethu Gopinathan Nair Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 2018-03-26
1316465560 Thilini Anne Abeygunaratne Marriage & Family Therapist 1950 Market Street, Riverside, CA 92501 2017-09-07
1194257410 Melissa Chitwood Assistant Behavior Analyst 3078 Cedar St., Riverside, CA 92501 2017-03-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538768064 Express Carenow, Inc Internal Medicine 4100 Central Ave Ste 101, Riverside, CA 92506-2930 2020-10-26
1073136495 Lydia Alejandra Robles Gomez Internal Medicine 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 2020-05-20
1770105611 Amala Chacko Internal Medicine 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 2020-05-14
1982225173 Aneurin Cornolius Fernandez Internal Medicine 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 2020-04-29
1477113264 Amulya Reddy Kasireddy Internal Medicine 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 2019-06-14
1336702927 Shelden Selas Rodrigues Internal Medicine Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 2019-04-18
1083277685 Hasrat Sidhu Internal Medicine 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 2019-04-18
1336639426 Daniele Sebastiano Restifo Ortega Internal Medicine Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 2018-05-14
1699263632 Diana Alexandra Kreppel Internal Medicine 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 2018-04-25
1134626690 Fanny Vanessa Giron Galeano Internal Medicine 3722 South Harlem Ave Macneal Center for Internal Medic, Suite Ll34, Riverside, IL 60546 2018-04-11
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Competitor

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City RIVERSIDE
Zip Code 92501

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Dataset Information

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.

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