NPIMap

Individual provider Active NPI

Chris Chung, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Santa Clara, CA
National Provider Identifier
1528043403
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A54870 Issued in CA
Practice address
900 Lafayette St Ste 105
Santa Clara, CA 95050
Phone
(408) 293-7767
Fax
(408) 294-6595
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A54870 CA
Sports Medicine (Family Medicine) Physician 207QS0010X A54870 CA Primary

Addresses

Primary practice location

900 Lafayette St Ste 105
Santa Clara, CA 95050

Mailing address

900 Lafayette St Ste 105
Santa Clara, CA 95050-4966
Phone (408) 293-7767

Other practice location 1

455 OConnor Dr
#150
San Jose, CA 95128-1633
Phone (408) 293-7767 ext. 113

Other practice location 2

455 OConnor Dr
#150
San Jose, CA 95128-1633
Phone (408) 293-7767 ext. 113

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
I20040322001341 CA Practitioner - Family PracticePractitioner - Sports Medicine 6406747286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Golden State Orthopedics and SpineGroup PAC ID 8224940739, 186 clinicians

Practice addresses (Care Compare)

900 Lafayette St
Suite 105
Santa Clara, CA 95050-4966
Phone (408) 293-7767

Hospital & facility affiliations

  • All Support at Home, LLC Home health agency, San Jose, CA, CCN 559411
  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54870CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Jan 1, 2022 Accepting new patients
Orthonorcal Inc CurrentSince Oct 1, 2021 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 1, 2022 Accepting new patients
Orthonorcal, Inc. CurrentSince Oct 1, 2021 Accepting new patients
John Giddens Jr M.D. Inc Past Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Anthony J. Saglimbeni, M.D., Inc Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
UCSF Medical Group Business Services Past Accepting new patients
Chris Chung, MD, Inc. Family Medicine PastSince Oct 26, 2004 Accepting new patients

Locations

340 Dardanelli Ln
Ste 10
Los Gatos, CA 95032
Phone (408) 412-8100

2250 Hayes St
Ste 208
San Francisco, CA 94117
Phone (415) 259-4101

455 Oconnor Dr
Ste 150
San Jose, CA 95128
Phone (408) 947-2522

2115 The Alameda
San Jose, CA 95126
Phone (408) 350-3280

900 Lafayette St
Ste 105
Santa Clara, CA 95050
Phone (408) 556-8407

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: chris.chung.p2@direct.muirortho.nextgenshare.com
  • Direct secure messaging: chris.chung@8734917853188.direct.elationemr.com
  • Direct secure messaging: chris.chungmd.p1@direct.orthonorcal.nextgenshare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556928000000",
    "number": "1528043403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LAFAYETTE ST STE 105",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504966",
            "telephone_number": "408-293-7767",
            "fax_number": "408-294-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LAFAYETTE ST STE 105",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "408-293-7767",
            "fax_number": "408-294-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 OConnor Dr",
            "address_2": "#150",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281633",
            "country_code": "US",
            "telephone_number": "408-293-7767 x113",
            "fax_number": "408-294-6595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 OConnor Dr",
            "address_2": "#150",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281633",
            "country_code": "US",
            "telephone_number": "408-293-7767 x113",
            "fax_number": "408-294-6595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "CHRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2019-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54870",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A54870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.