CT Hung MD Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

00A363360 Issued in CA

Legal business name

CT HUNG MD INC.

Practice address

629 N 13TH Ave
Upland, CA 91786-4906

Phone

(909) 985-2709

Fax

(909) 985-3688

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Paradise

Title

Billing Manager

Phone

(909) 985-2709

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chuang Ti Hung, M.D.

  • Gastroenterology Physician
  • Upland, CA
  • NPI 1619049749
  Medicare reassignment
• Kathleen A Laurel, P.A.-C.

  • Physician Assistant
  • Upland, CA
  • NPI 1134131394
  Medicare reassignment

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487863395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864906",
            "telephone_number": "909-985-2709",
            "fax_number": "909-985-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864906",
            "telephone_number": "909-985-2709",
            "fax_number": "909-985-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT HUNG MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARADISE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "909-985-2709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00A363360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Curl

• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.