Individual provider Active NPI

Katrina Chaung, M.D.

  • Otolaryngology Physician
  • San Jose, CA
National Provider Identifier
1487810990
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C156309 Issued in CA
Practice address
2577 Samaritan Dr Ste 765
San Jose, CA 95124-4109
Phone
(408) 358-6163
NPI assigned
Aug 4, 2008
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C156309 CA Primary

Addresses

Primary practice location

2577 Samaritan Dr Ste 765
San Jose, CA 95124-4109

Mailing address

2577 Samaritan Dr Ste 765
San Jose, CA 95124-4109

Other practice location 1

2577 Samaritan Dr Ste 765
San Jose, CA 95124-4109
Phone (408) 358-6163

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
I20181218002432 CA Practitioner - Otolaryngology 7416197090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northwestern University Feinberg Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

6060 Hellyer Ave
Suite 150
San Jose, CA 95138-1047
Phone (408) 351-6063

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C156309CAMDOtolaryngology Physician
069569GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jun 1, 2023 Accepting new patients
Bass Medical Group Otolaryngology Current Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2023 Accepting new patients
El Camino Health Medical Group CurrentSince Nov 1, 2018 Accepting new patients
El Camino Hospital Past Accepting new patients
Richard D Thrasher III MD PA Otolaryngology Past Accepting new patients

Locations

15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

973 University Ave
Los Gatos, CA 95032
Phone (408) 278-3003

16130 Juan Hernandez Dr
Ste 108
Morgan Hill, CA 95037
Phone (408) 227-6300

2204 Grant Rd
Ste 102
Mountain View, CA 94040
Phone (650) 960-1100

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4370

2577 Samaritan Dr
Ste 750
San Jose, CA 95124
Phone (408) 358-1833

2577 Samaritan Dr
Ste 765
San Jose, CA 95124
Phone (408) 358-6163

6060 Hellyer Ave
Ste 150
San Jose, CA 95138
Phone (408) 227-6300

828 S Winchester Blvd
San Jose, CA 95128
Phone (408) 866-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kchaung163221@ehr.johnmuirhealth.com
  • Direct secure messaging: kchaung47922@icare.elcaminohospital.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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1487810990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR STE 765",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR STE 765",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244109",
            "telephone_number": "408-358-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 Samaritan Dr Ste 765",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951244109",
            "country_code": "US",
            "telephone_number": "408-358-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUNG",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C156309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.