Embarcadero Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A63888 Issued in CA

Legal business name

EMBARCADERO MEDICAL GROUP, INC.

Practice address

1 Embarcadero Ctr Ste 500
San Francisco, CA 94111-3610

Phone

(415) 835-1279

Fax

(415) 835-1280

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Chung, MD

Title

Owner

Phone

(415) 835-1279

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063578771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113610",
            "telephone_number": "415-835-1279",
            "fax_number": "415-835-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113610",
            "telephone_number": "415-835-1279",
            "fax_number": "415-835-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBARCADERO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-835-1279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Elze, D.C
• Kristen L. Elzey
• Em & Da Group
• Marcus Armon Emam-Ghiasi, MA, AMFT
• Ivor A Emanuel, MD
• Embarcadero Physical Therapy Inc
• Mihal Emberton
• Peter W. Emblad, MD
• Embodied Depth Relational Marriage and Family Therapy, Inc
• Embodied Relational Psychothearpy, a Marriage and Family Therapy Corp

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.