Organization Active NPI

Henry I. Kung, M.D., a Professional Corporation

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1083933154
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G39076 Issued in CA
Legal business name
HENRY I. KUNG, M.D., A PROFESSIONAL CORPORATION
Practice address
120 La Casa Via
Ste 107
Walnut Creek, CA 94598-3067
Phone
(925) 945-6070
Fax
(925) 945-8767
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Juliet Kung
Title
Billing Manager
Phone
(925) 945-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G39076 CA Primary

Addresses

Primary practice location

120 La Casa Via
Ste 107
Walnut Creek, CA 94598-3067

Mailing address

120 La Casa Via
Ste 107
Walnut Creek, CA 94598-3067
Phone (925) 945-6070

Other identifiers 1

IdentifierTypeStateIssuer
1518941673OtherCANPI

National Provider Directory

National Provider Directory

Locations

120 La Casa Via
Ste 107
Walnut Creek, CA 94598
Phone (925) 935-1880

2021 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 822-7776

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1083933154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA",
            "address_2": "STE 107",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983067",
            "telephone_number": "925-945-6070",
            "fax_number": "925-945-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA",
            "address_2": "STE 107",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983067",
            "telephone_number": "925-945-6070",
            "fax_number": "925-945-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY I. KUNG, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "925-945-6070"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G39076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518941673",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.