Individual provider Active NPI

Mee-Jin Chong, M.D.

  • Family Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1407994072
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A485210 Issued in CA
Practice address
1828 Mt Diablo Blvd
Suite B
Walnut Creek, CA 94596-4410
Phone
(925) 932-8820
Fax
(925) 932-8915
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A485210 CA Primary

Addresses

Primary practice location

1828 Mt Diablo Blvd
Suite B
Walnut Creek, CA 94596-4410

Mailing address

1828 Mt Diablo Blvd
Suite B
Walnut Creek, CA 94596-4410
Phone (925) 932-8820

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000566 CA Practitioner - Family Practice 5698960375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48521CAMDMarriage & Family Therapist
A485210CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mee-Jin Chong, M.D., Professional Corporation Family Medicine CurrentSince Dec 19, 1998 Accepting new patients

Locations

1911 Oak Park Blvd
Pleasant Hill, CA 94523
Phone (925) 935-6630

1828 Mt Diablo Blvd
#B
Walnut Creek, CA 94596
Phone (925) 932-8820

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1828 Mt Diablo Blvd
Ste B
Walnut Creek, CA 94596
Phone (925) 932-8820

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1407994072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 MT DIABLO BLVD",
            "address_2": "SUITE B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964410",
            "telephone_number": "925-932-8820",
            "fax_number": "925-932-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 MT DIABLO BLVD",
            "address_2": "SUITE B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964410",
            "telephone_number": "925-932-8820",
            "fax_number": "925-932-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "MEE-JIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A485210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.