Individual provider Active NPI

Eunjung Carney, NP

  • Nurse Practitioner
  • Milpitas, CA
National Provider Identifier
1306497821
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012866 Issued in CA
Practice address
1313 N Milpitas Blvd Ste 265
Milpitas, CA 95035-3190
Phone
(844) 310-2247
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012866 CA Primary

Addresses

Primary practice location

1313 N Milpitas Blvd Ste 265
Milpitas, CA 95035-3190

Mailing address

35 28TH Ave Apt 105
San Mateo, CA 94403-2480
Phone (510) 289-7794

Other practice location 1

1313 N Milpitas Blvd
Milpitas, CA 95035-3180
Phone (408) 770-9480

Other practice location 2

395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973
Phone (650) 826-2945

Other practice location 3

2763 S Norfolk St Apt 212
San Mateo, CA 94403-1676
Phone (510) 289-7794

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012866CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: eunjung.carney.1@29786.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1306497821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 28TH AVE APT 105",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032480",
            "telephone_number": "510-289-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N MILPITAS BLVD STE 265",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353190",
            "telephone_number": "844-310-2247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 N Milpitas Blvd",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950353180",
            "country_code": "US",
            "telephone_number": "408-770-9480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Oyster Point Blvd Ste 512",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940801973",
            "country_code": "US",
            "telephone_number": "650-826-2945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2763 S Norfolk St Apt 212",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944031676",
            "country_code": "US",
            "telephone_number": "510-289-7794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "EUNJUNG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.