James Chung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11494T Issued in CA

Practice address

720 E Valley Blvd
San Gabriel, CA 91776-3547

Phone

(626) 288-8097

Fax

(626) 288-8031

NPI assigned

Sep 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• James Yichin Chung Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vision San Gabriel Optometry, Inc.

  • Optometrist
  • San Gabriel, CA
  • NPI 1225168719
  NPD (past) Authorized official
• Blue Sky Optometry

  • Optometrist
  • San Gabriel, CA
  • NPI 1619182839
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1194818518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20442 MILANO CT",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928868623",
            "telephone_number": "626-315-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763547",
            "telephone_number": "626-288-8097",
            "fax_number": "626-288-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11494T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0114940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "CHUNG",
            "middle_name": "YICHIN",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jesse Jen-Chieh Chuang, M.D., M.P.H.
• Chun Yeh Wang MD PHD a Professional Corporation
• Yung Fang Irene Chung Chavez, PHD
• Frank Chung, D.C.
• Hannah Chung
• Jenny Chen Chung, DDS
• Johnson Ling-Hung Chung, DMD
• Ling-Ling Chung, PRH
• Michael Chung, D.D.S., M.D.
• City of San Gabriel (City of San Gabriel Ambulance)

• Optometrist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.