Richard B. D. Chun, M.D. Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C28231 Issued in CA

Legal business name

RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION

Practice address

729 Sunrise Ave
Ste 619
Roseville, CA 95661-4548

Phone

(916) 783-7118

NPI assigned

Aug 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard B. Chun, M. D.

Title

President

Phone

(916) 783-7118

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1003000563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "STE 619",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614548",
            "telephone_number": "916-783-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "STE 619",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614548",
            "telephone_number": "916-783-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-783-7118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C28231",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C28231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-PGBA",
            "identifier": "110233272",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C282310",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C282310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C28231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R Douglas Rhodes, DC
• Gregory T Rice, P.T.
• Kaelin Rice
• Torey Jonell Rice, M.S.
• Richard B Knight DDS Ms Inc
• Richard N Sauer M.D.,Inc.
• Eric Alan Richard
• Brittany Richards, MA, AMFT
• Jan M Richards, PT
• Krista Richards, RADT

• Primary Care Clinic/Center in Roseville, CA
• Providers in Roseville, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.