Individual provider Active NPI

Liandra Jung, OD

  • Optometrist
  • Berkeley, CA
National Provider Identifier
1386252849
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34583TLG Issued in CA
Practice address
200 Minor Hall University of California at Berkeley
Berkeley, CA 94720-0001
Phone
(510) 620-2020
NPI assigned
Jul 20, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34583TLG CA Primary

Addresses

Primary practice location

200 Minor Hall University of California at Berkeley
Berkeley, CA 94720-0001

Mailing address

200 Minor Hall University of California at Berkeley
Berkeley, CA 94720-0001
Phone (510) 642-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119001335 CA Practitioner - Optometry 1153732375 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34583TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The West Oakland Health Council CurrentSince Aug 30, 2021 Accepting new patients
The West Oakland Health Council CurrentSince Aug 30, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 15, 2025 Accepting new patients
The West Oakland Health Council Current Accepting new patients
Regents of the University of California at Berkeley Optometrist CurrentSince Aug 15, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 15, 2025 Accepting new patients
University of California San Francisco CurrentSince Jan 15, 2025 Accepting new patients
Regents of the University of California CurrentSince Jan 15, 2025 Accepting new patients
University of California San Francisco CurrentSince Jan 15, 2025 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
The West Oakland Health Council Past Accepting new patients

Locations

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

7450 International Blvd
Oakland, CA 94621
Phone (510) 430-9401

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: ljung128496@direct-ucsfmedicalcenter.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1386252849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MINOR HALL UNIVERSITY OF CALIFORNIA AT BERKELEY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947200001",
            "telephone_number": "510-642-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MINOR HALL UNIVERSITY OF CALIFORNIA AT BERKELEY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947200001",
            "telephone_number": "510-620-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "LIANDRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34583TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.