Organization Active NPI

Jung and Jung Chirorpractic LTD

  • Chiropractor
  • Pinole, CA
National Provider Identifier
1104900505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
25575 Issued in CA
Legal business name
JUNG AND JUNG CHIRORPRACTIC LTD
Practice address
2801 Pinole Valley Rd
Suite 200
Pinole, CA 94564-1468
Phone
(510) 243-7500
Fax
(510) 243-7556
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brandon G. Jung, D.C.NPI 1376782169
Title
Owner
Phone
(510) 243-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 25575 CA Primary

Addresses

Primary practice location

2801 Pinole Valley Rd
Suite 200
Pinole, CA 94564-1468

Mailing address

2801 Pinole Valley Rd
Suite 200
Pinole, CA 94564-1468
Phone (510) 243-7500

National Provider Directory

National Provider Directory

Locations

2801 Pinole Valley Rd
Ste 200
Pinole, CA 94564
Phone (510) 243-7500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104900505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PINOLE VALLEY RD",
            "address_2": "SUITE 200",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641468",
            "telephone_number": "510-243-7500",
            "fax_number": "510-243-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PINOLE VALLEY RD",
            "address_2": "SUITE 200",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641468",
            "telephone_number": "510-243-7500",
            "fax_number": "510-243-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG AND JUNG CHIRORPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-243-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • 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.