Active NPI
Liandra Jung, OD
- Optometrist
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34583TLG
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34583TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The West Oakland Health Council | Current | Accepting new patients | |
| The West Oakland Health Council | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| The West Oakland Health Council | Current | Accepting new patients | |
| Regents of the University of California at Berkeley | Optometrist | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| University of California San Francisco | Current | 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
- 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.
-
dba UCSF Dept of Medicine General Medicine
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Optometrist
- Berkeley, CA
- NPI 1306908058
-
dba Baywell Health
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1285754234
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba Baywell Health
- Psychiatric/Mental Health Nurse Practitioner
- Oakland, CA
- NPI 1043331630
-
dba Baywell Health
- Federally Qualified Health Center (FQHC)
- Berkeley, CA
- NPI 1184744138
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
dba Albert J. Thomas Medical Clinic
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1700906757
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.