Venesa Chung, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35305 Issued in CA

Practice address

1855 Lucretia Ave BLDG 1100
San Jose, CA 95122-3730

Phone

(408) 347-4751

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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 Health 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (4 of 5)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

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.

• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1780054379

  CA

  Medicare reassignment Care Compare group NPD
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1184791998
  Care Compare group NPD
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1942387188
  Care Compare group NPD (past)
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1033296272
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1245719129
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1497021109
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1598387680
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1659993699
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1679381107
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Gilroy, CA
  • NPI 1871115964
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1962024059
  Care Compare group
• Mendocino Coast Clinics Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Bragg, CA
  • NPI 1083783757
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1043933757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 LUCRETIA AVE BLDG 1100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223730",
            "telephone_number": "626-378-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 LUCRETIA AVE BLDG 1100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223730",
            "telephone_number": "408-347-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "VENESA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Chung
• Michelle Chung, MFT
• Nora Chung, MSW
• Sophia Shangfei Chung
• Timmy Chung
• Winston C Chung, L. AC.
• Yueh-Ju Yale Chung, M.D.
• Sonjue Chungkoltsov, L.AC.
• Ellen Mendoza Church
• Jean C Church

• All providers in San Jose, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.