Active NPI
Jane Yeoun Chung, M.D.
- Psychiatry Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G63039
- Practice address
- 520 E Tulare Ave
Visalia, CA 93292-3629 - Phone
- (559) 788-1200
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 26, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G63039 | CA | Primary |
Addresses
Primary practice location
520 E Tulare Ave
Visalia, CA 93292-3629
Mailing address
4843 Commonwealth Ave
La Canada, CA 91011-2506
Phone (818) 952-2614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G63039 | Other | CA | LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63039 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| La Mer Psychiatric Medical Group, Inc. | Past | Accepting new patients |
Locations
10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000
11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011
1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coalinga State Hospital
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
dba Department of State Hospitals - Metropolitan
- Psychiatric Hospital
- Norwalk, CA
- NPI 1265406565
-
- Group Psychotherapy Psychologist
- Oxnard, CA
- NPI 1346327517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1265519441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4843 COMMONWEALTH AVE",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910112506",
"telephone_number": "818-952-2614",
"fax_number": "805-388-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E TULARE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932923629",
"telephone_number": "559-788-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JANE",
"middle_name": "YEOUN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G63039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G63039",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.