Mimi Chuong

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2308 X St Apt 4
Sacramento, CA 95818-2527

Phone

(626) 376-2695

NPI assigned

Oct 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445040000000",
    "number": "1568833457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 AMERICAN RIVER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645794",
            "telephone_number": "916-737-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 X ST APT 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182527",
            "telephone_number": "626-376-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUONG",
        "first_name": "MIMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney R Chung
• Shing C. Chung, MD
• Victoria Chung, M.D.
• Gerald Chuong, PHARMD
• Lisa Chuong
• Alyssa Marie Church
• Galen Church, D.O.
• Jason Church, M.A., BCBA
• Jennifer Susan Churchill
• Paige Marigold Churchill, MSN

• Case Manager/Care Coordinator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.