NPIMap

Individual provider Active NPI

Chia-Yi Selena Hung, D.O.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1366671638
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A12280 Issued in CA
Practice address
2410 Samaritan Dr Ste 201
San Jose, CA 95124-3909
Phone
(408) 371-9010
NPI assigned
Jul 8, 2009
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A12280 CA Primary

Addresses

Primary practice location

2410 Samaritan Dr Ste 201
San Jose, CA 95124-3909

Mailing address

2410 Samaritan Dr Ste 201
San Jose, CA 95124-3909
Phone (408) 371-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121129000476 CA Practitioner - Internal Medicine 2769634542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

2410 Samaritan Dr
Suite 201
San Jose, CA 95124-3909
Phone (408) 371-9010

50 E Hamilton Ave
Suite 280
Campbell, CA 95008-0273
Phone (408) 227-2646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12280CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Verity Medical Foundation CurrentSince Apr 22, 2013 Accepting new patients
Stanford Health Care Internal Medicine Current Accepting new patients
DCHS Medical Foundation Internal Medicine CurrentSince Apr 22, 2013 Accepting new patients
Stanford Health Care CurrentSince Jul 1, 2022 Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Apr 11, 2016 Accepting new patients

Locations

50 E Hamilton Ave
Ste 120
Campbell, CA 95008
Phone (408) 357-1410

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

9360 No Name Uno
Ste 125
Gilroy, CA 95020
Phone (408) 846-9444

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

230 S Main St
Ste 100
Orange, CA 92868
Phone (714) 541-0101

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

2410 Samaritan Dr
Ste 201
San Jose, CA 95124
Phone (408) 371-9010

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: chung150457@direct.stanfordhealthcare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1366671638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "408-371-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "408-371-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNG",
        "first_name": "CHIA-YI",
        "middle_name": "SELENA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2024-04-18",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.