Joseph Medical Group Inc.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G61950 Issued in CA

Legal business name

JOSEPH MEDICAL GROUP INC.

Practice address

6261 Stanton Ave
Buena Park, CA 90621-2436

Phone

(714) 739-4325

Fax

(714) 739-4076

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Joseph D. Chun, MD

Title

President/Director

Phone

(714) 739-4325

Specialties & licenses 6

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8028/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1295711224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 STANTON AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212436",
            "telephone_number": "714-739-4325",
            "fax_number": "714-739-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 STANTON AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212436",
            "telephone_number": "714-739-4325",
            "fax_number": "714-739-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "714-739-4325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G61950",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80586",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82873",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G61950",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G61950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPT",
            "identifier": "00G619500K91",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0088840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenya R Johnson, ACSW, LMSW
• Rayfield Johnson III
• Makenna Skye Jonas, BS
• Joon Choe DDS Inc
• Joseph K Song MD Inc
• Joseph Medical Group Inc.
• Joseph Medical Group, Inc.
• Joy Pharmacy Inc
• JSC Dental Studio
• Joann Ju

• Allergy & Immunology Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.