Benjamin Chung MD Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BENJAMIN CHUNG MD INC

Practice address

4244 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-3372

Phone

(951) 321-0100

Fax

(951) 321-0131

NPI assigned

Apr 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin D Chung, M.D.NPI 1326031923

Title

Owner / Medical Director

Phone

(951) 321-0100

Specialties & licenses 1

Addresses

Other names 1

• RIVERWALK SURGERY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Riverwalk Surgery CenterCCN 05C0002014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Benjamin Chung, MD

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1326031923
  NPD (past) Authorized official

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1497011308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 RIVERWALK PKWY",
            "address_2": "SUITE 210",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058509",
            "telephone_number": "951-321-0100",
            "fax_number": "951-321-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 RIVERWALK PKWY",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053372",
            "telephone_number": "951-321-0100",
            "fax_number": "951-321-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN CHUNG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-321-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERWALK SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delfina Benitez
• Jenneffer Benitez
• Lillian C Benitez
• Oscar R. Benitez, MD
• Yadira Alejandra Benitez
• Benjamin Y Leong MD Inc
• Dinnia Mona Benjamin
• Madison Benjamin
• Michelle Benjamin
• Ashley R Bennett, ACSW

• Ambulatory Surgical Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.