Active NPI
Dominic Maung Chiong, M.D.
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1093749715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G69952
- Practice address
- 2690 S White Rd Ste 200
San Jose, CA 95148-2077 - Phone
- (408) 223-8118
- Fax
- (408) 223-8188
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G69952 | CA | Primary |
Addresses
Primary practice location
2690 S White Rd Ste 200
San Jose, CA 95148-2077
Mailing address
5196 Apennines Cir
San Jose, CA 95138-2317
Phone (408) 531-9611
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061011000240 | CA | Practitioner - Internal Medicine | 7416953682 | Practice locations: San Jose, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Irvine, California College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2690 S White Rd
Suite 200
San Jose, CA 95148-2077
Phone (408) 223-4437
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69952 | CA | MD | Internal Medicine Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- San Jose, CA
- NPI 1093704249
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093749715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5196 APENNINES CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951382317",
"telephone_number": "408-531-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 S WHITE RD STE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482077",
"telephone_number": "408-223-8118",
"fax_number": "408-223-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIONG",
"first_name": "DOMINIC",
"middle_name": "MAUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G69952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.