Active NPI
James Chung, D.O.
- Family Medicine Physician
- Camp Pendleton, CA
National Provider Identifier
1265616775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02003437A
- Practice address
- Naval Hospital, Camp Pendleton Santa Margarita Road
BLDG H100 Attn: Code 094
Camp Pendleton, CA 92055-5191 - Phone
- (760) 725-1400
- NPI assigned
- Dec 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02003437A | IN | Primary |
| Military Health Care Provider | 171000000X | 02003437A | IN |
Addresses
Primary practice location
Naval Hospital, Camp Pendleton Santa Margarita Road
BLDG H100 Attn: Code 094
Camp Pendleton, CA 92055-5191
Mailing address
Naval Hospital, Camp Pendleton Santa Margarita Road
BLDG H100 Attn: Code 094
Camp Pendleton, CA 92055-5191
Phone (760) 725-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39020000X | Other | CA | 39020000X |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003437A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1265616775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL, CAMP PENDLETON SANTA MARGARITA ROAD",
"address_2": "BLDG H100 ATTN: CODE 094",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555191",
"telephone_number": "760-725-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL, CAMP PENDLETON SANTA MARGARITA ROAD",
"address_2": "BLDG H100 ATTN: CODE 094",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555191",
"telephone_number": "760-725-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-19",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02003437A",
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "IN",
"license": "02003437A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "39020000X",
"identifier": "39020000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.