NPIMap

Individual provider Active NPI

Martha Chung-Sang Man, MD

  • Medical Oncology Physician
  • San Jose, CA
National Provider Identifier
1518976042
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A82063 Issued in CA
Practice address
2589 Samaritan Dr
San Jose, CA 95124-4102
Phone
(408) 426-4900
Fax
(669) 233-2482
NPI assigned
Aug 5, 2006
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A82063 CA
Hematology (Internal Medicine) Physician 207RH0000X A82063 CA
Hematology & Oncology Physician 207RH0003X A82063 CA
Medical Oncology Physician 207RX0202X A82063 CA Primary

Addresses

Primary practice location

2589 Samaritan Dr
San Jose, CA 95124-4102

Mailing address

2589 Samaritan Dr
San Jose, CA 95124-4102
Phone (408) 426-4900

Other practice location 1

50 E Hamilton Ave
Ste 200
Campbell, CA 95008
Phone (408) 376-2300

Other identifiers 1

IdentifierTypeStateIssuer
00A820630MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000487 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7113926429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Stanford University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82063CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Feb 26, 2003 Accepting new patients
Stanford Health Care Internal Medicine Current Accepting new patients
Stanford Health Care CurrentSince Feb 26, 2003 Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 200
Campbell, CA 95008
Phone (408) 376-2300

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303
Phone (650) 497-9067

2589 Samaritan Dr
San Jose, CA 95124
Phone (408) 357-1060

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: mman125842@santaclaravalley.direct-ci.net
  • Direct secure messaging: mman2728@direct.stanfordhealthcare.org

Organizations & group practices 10

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 11

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1518976042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244102",
            "telephone_number": "408-426-4900",
            "fax_number": "669-233-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244102",
            "telephone_number": "408-426-4900",
            "fax_number": "669-233-2482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E Hamilton Ave",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "95008",
            "country_code": "US",
            "telephone_number": "408-376-2300",
            "fax_number": "408-376-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAN",
        "first_name": "MARTHA",
        "middle_name": "CHUNG-SANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82063",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "A82063",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A82063",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A82063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A820630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.