Individual provider Active NPI

Catherine K Pyun

  • Internal Medicine Physician
  • Alameda, CA
National Provider Identifier
1154390144
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6823 Issued in CA
Practice address
2070 Clinton Ave
Alameda, CA 94501-4399
Phone
(510) 514-4397
Fax
(510) 814-4391
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A6823 CA Primary

Addresses

Primary practice location

2070 Clinton Ave
Alameda, CA 94501-4399

Mailing address

2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 814-4397

Other identifiers 1

IdentifierTypeStateIssuer
00AX68230MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000848 CA Practitioner - Internal Medicine 1254375983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Inpatient Medical IncGroup PAC ID 5496757577, 22 clinicians

Practice addresses (Care Compare)

2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 814-4397

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6823CAMDAddiction (Substance Use Disorder) Counselor
20A6823CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Inpatient Medical Inc Internal Medicine CurrentSince May 12, 2006 Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine Past Accepting new patients
Alameda Health System Past Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine PastSince Oct 1, 2002 Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

909 Marina Village Pkwy
Alameda, CA 94501
Phone (207) 423-5576

2070 Clinton Ave
Ste 2113
Alameda, CA 94501
Phone (510) 522-3700

2070 Clinton Ave
Fl 3
Alameda, CA 94501
Phone (510) 548-6555

Interoperability endpoints

  • Direct secure messaging: cpyun16489@alamedahs.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1154390144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014399",
            "telephone_number": "510-814-4397",
            "fax_number": "510-814-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014399",
            "telephone_number": "510-514-4397",
            "fax_number": "510-814-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYUN",
        "first_name": "CATHERINE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX68230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.