Individual provider Active NPI

Venesa Chung, OD

  • Optometrist
  • Fremont, CA
National Provider Identifier
1043933757
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35305 Issued in CA
Practice address
1999 Mowry Ave
Fremont, CA 94538-1738
Phone
(510) 770-8040
NPI assigned
Sep 19, 2022
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35305 CA Primary

Addresses

Primary practice location

1999 Mowry Ave
Fremont, CA 94538-1738

Mailing address

40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040

Other practice location 1

39500 Liberty St
Fremont, CA 94538-2211
Phone (510) 770-8040

Other practice location 2

1066 S White Rd Ste 170
San Jose, CA 95127-3812
Phone (408) 729-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109003010 CA Practitioner - Optometry 4688044696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians

Practice addresses (Care Compare)

2299 Mowry Ave
Suite 3B
Fremont, CA 94538-1621
Phone (510) 770-8040

39500 Liberty St
Fremont, CA 94538-2211
Phone (510) 770-8040

5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700

9460 N Name Uno
Suite 110
Gilroy, CA 95020-3536
Phone (408) 729-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince Sep 29, 2022 Accepting new patients
Bay Area Community Health CurrentSince Sep 29, 2022 Accepting new patients
Mendocino Coast Clinics Inc Past Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 608-6065

1999 Mowry Ave
Fremont, CA 94538
Phone (510) 713-6559

1999 Mowry Ave
Ste Adfn
Fremont, CA 94538

1999 Mowry Ave
Ste N
Fremont, CA 94538
Phone (510) 793-2645

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1855 Lucretia Ave
Bldg M
San Jose, CA 95122
Phone (408) 347-4751

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1043933757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40910 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384375",
            "telephone_number": "510-770-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-770-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39500 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382211",
            "country_code": "US",
            "telephone_number": "510-770-8040",
            "fax_number": "510-770-8141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1066 S White Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951273812",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "VENESA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.