Individual provider Active NPI

Richard Jung, MD

  • Pain Medicine (Anesthesiology) Physician
  • Burlingame, CA
National Provider Identifier
1093737801
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G66105 Issued in CA
Practice address
1783 El Camino Real
Burlingame, CA 94010-3205
Phone
(650) 696-5400
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G66105 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X G66105 CA Primary

Addresses

Primary practice location

1783 El Camino Real
Burlingame, CA 94010-3205

Mailing address

PO Box 7793
San Francisco, CA 94120-7793

Other identifiers 1

IdentifierTypeStateIssuer
00G661050MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000641 NY Practitioner - Anesthesiology 4385729235 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
5000 Avenue K Medical Assocs PCGroup PAC ID 3577454602, 18 clinicians

Practice addresses (Care Compare)

2325 31St St
Suite 200
Astoria, NY 11105-2298
Phone (347) 417-9084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G66105CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
5000 Avenue K Medical Assocs PC Anesthesiology CurrentSince Aug 24, 2022 Accepting new patients
West Side Gi, LLC CurrentSince Jul 21, 2022 Accepting new patients
Anesthesia Care Associates Medical Group Inc Anesthesiology Past Accepting new patients
Dansville Anesthesia & Pain Treatment, PLLC Anesthesiology Past Accepting new patients

Locations

2325 31st St
Ste 200
Astoria, NY 11105

5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590

1901 Utica Ave
#K
Brooklyn, NY 11234

128 Mott St
Ste 202
New York, NY 10013
Phone (347) 417-9089

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

931 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 331-7200

Organizations & group practices 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1093737801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 EL CAMINO REAL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103205",
            "telephone_number": "650-696-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G66105",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G66105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G661050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.