Kiyon Chung MD, Apc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C54514 Issued in CA

Legal business name

KIYON CHUNG MD, APC

Practice address

4060 4TH Ave
Suite 650
San Diego, CA 92103-2121

Phone

(619) 819-7222

Fax

(619) 299-5023

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kiyon Chung, MDNPI 1972517910

Title

President

Phone

(619) 819-7222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiyon Chung, MD

  • Cardiovascular Disease Physician
  • San Diego, CA
  • NPI 1972517910
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336645324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE STE 650",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032121",
            "telephone_number": "619-819-7222",
            "fax_number": "619-299-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE",
            "address_2": "SUITE 650",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032121",
            "telephone_number": "619-819-7222",
            "fax_number": "619-299-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIYON CHUNG MD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "KIYON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-819-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C54514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "C54514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Kitz, AMFT
• Kira Kiurciev
• Lawrence Ross Kivett, RADT
• Joshua Robert Kivlovitz, LCSW
• Takashi Kiyoizumi, M.D.
• Chanda Denee Kizer, MA, LMFT
• Kyle Kizilbash, B.S.
• Jacqueline Mendez Kizziah
• Melody Klaffke
• Warren Peter Klam, M.D., MSMM

• Cardiovascular Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.