Active NPI
Ya-Wei Chung
- Pharmacist
- Rancho Cucamonga, CA
National Provider Identifier
1073381364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85704
- Practice address
- 9713 Base Line Rd
Rancho Cucamonga, CA 91730-1408 - Phone
- (909) 989-8688
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85704 | CA | Primary |
Addresses
Primary practice location
9713 Base Line Rd
Rancho Cucamonga, CA 91730-1408
Mailing address
5205 Sereno Dr
Temple City, CA 91780-3043
Other practice location 1
360 E Las Tunas Dr Ste 101
San Gabriel, CA 91776-5514
Phone (626) 656-6956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85704 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihealth Max | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1073381364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 SERENO DR",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917803043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9713 BASE LINE RD",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301408",
"telephone_number": "909-989-8688"
}
],
"practiceLocations": [
{
"address_1": "360 E Las Tunas Dr Ste 101",
"address_purpose": "LOCATION",
"city": "San Gabriel",
"state": "CA",
"postal_code": "917765514",
"country_code": "US",
"telephone_number": "626-656-6956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "YA-WEI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.