Individual provider Active NPI

Jason Kung, M.D.

  • Interventional Pain Medicine Physician
  • Sacramento, CA
National Provider Identifier
1013365154
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A172486 Issued in CA
Practice address
4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590
Phone
(916) 953-7571
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A172486 CA
Interventional Pain Medicine Physician 208VP0014X A172486 CA Primary

Addresses

Primary practice location

4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590

Mailing address

4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200925001310 MA Practitioner - Anesthesiology 5991078164 Reassigns benefits to 2 organizations
I20210813001581 CA Practitioner - Pain Management 5991078164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine and Nerve Diagnostic CenterGroup PAC ID 9830416460, 11 clinicians

Practice addresses (Care Compare)

4420 Duckhorn Dr
Suite 200
Sacramento, CA 95834-2590
Phone (916) 419-9900

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A172486CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation Interventional Pain Medicine CurrentSince Aug 1, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Spine & Nerve Diagnostic Center CurrentSince Dec 1, 2022 Accepting new patients
Spine & Nerve Diagnostic Center Interventional Pain Medicine Current Accepting new patients
Spine & Nerve Diagnostic Center Interventional Pain Medicine CurrentSince Dec 1, 2022 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients
Sutter Valley Hospitals Interventional Pain Medicine Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Fort Sanders Regional Medical Center Interventional Pain Medicine Past Accepting new patients

Locations

2234 Longport Ct
Ste 100
Elk Grove, CA 95758
Phone (916) 478-0112

2372 Maritime Dr
Elk Grove, CA 95758
Phone (408) 885-5110

2380 E Bidwell St
Folsom, CA 95630
Phone (916) 306-1112

985 Sun City Ln
Ste 111
Lincoln, CA 95648
Phone (916) 772-5325

1528 Eureka Rd
Ste 103
Roseville, CA 95661
Phone (916) 772-5325

4420 Duckhorn Dr
Ste 200
Sacramento, CA 95834
Phone (916) 419-9900

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
#444
Boston, MA 02114
Phone (617) 319-3940

Interoperability endpoints

  • Direct secure messaging: jason.kung.p1@direct.apdss.nextgenshare.com
  • Direct secure messaging: jkung589614@hisp.ehr.sutterhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1013365154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 DUCKHORN DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 DUCKHORN DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342590",
            "telephone_number": "916-953-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A172486",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A172486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.