Individual provider Active NPI

Monique Chhun-Lum, N.D.

  • Naturopath
  • Elk Grove, CA
National Provider Identifier
1609169853
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-470 Issued in CA
Practice address
9281 Office Park Cir Ste 120
Elk Grove, CA 95758-8069
Phone
(916) 895-1630
NPI assigned
May 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 11-1245 AZ
Naturopath 175F00000X ND-470 CA Primary

Addresses

Primary practice location

9281 Office Park Cir Ste 120
Elk Grove, CA 95758-8069

Mailing address

9281 Office Park Cir Ste 120
Elk Grove, CA 95758-8069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11-1245AZMDNaturopath
ND-470CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1609169853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9281 OFFICE PARK CIR STE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9281 OFFICE PARK CIR STE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588069",
            "telephone_number": "916-895-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHUN-LUM",
        "first_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "11-1245",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.