NPIMap

Individual provider Active NPI

June Y Zhang, MD

  • Allergy & Immunology Physician
  • San Mateo, CA
National Provider Identifier
1174787170
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A90768 Issued in CA
Practice address
290 Baldwin Ave
San Mateo, CA 94401-3915
Phone
(650) 343-4597
Fax
(650) 343-3402
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X N0576 TX
Allergy & Immunology Physician 207K00000X A90768 CA Primary

Addresses

Primary practice location

290 Baldwin Ave
San Mateo, CA 94401-3915

Mailing address

290 Baldwin Ave
San Mateo, CA 94401-3915
Phone (650) 343-4597

Other identifiers 3

IdentifierTypeStateIssuer
196788701MedicaidTX
196788702MedicaidTX
196788703MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001540 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 8123196771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Wisconsin School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Bay Allergy and Asthma Group IncGroup PAC ID 6305817784, 4 clinicians

Practice addresses (Care Compare)

2211 Moorpark Ave
Suite 130
San Jose, CA 95128-2655
Phone (408) 286-1707

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90768CAMDAllergy & Immunology Physician
N0576TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Center Past Accepting new patients
Sequoia Health Services Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
El Camino Hospital Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jzhang171053@icare.elcaminohospital.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1174787170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915",
            "telephone_number": "650-343-4597",
            "fax_number": "650-343-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915",
            "telephone_number": "650-343-4597",
            "fax_number": "650-343-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JUNE",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "N0576",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A90768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196788701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196788702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196788703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.