Active NPI
Linda Sung Chon
- Pharmacist
- Rancho Cordova, CA
National Provider Identifier
1689125874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56059
- Practice address
- 11809 Autumn Sunset Way
Rancho Cordova, CA 95742-8009 - Phone
- (916) 475-9929
- NPI assigned
- Oct 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 56059 | CA | Primary |
Addresses
Primary practice location
11809 Autumn Sunset Way
Rancho Cordova, CA 95742-8009
Mailing address
11809 Autumn Sunset Way
Rancho Cordova, CA 95742-8009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56059 | Other | CA | BOARD OF CA PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56059 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477094400000",
"number": "1689125874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11809 AUTUMN SUNSET WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957428009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11809 AUTUMN SUNSET WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957428009",
"telephone_number": "916-475-9929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHON",
"first_name": "LINDA SUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-22",
"last_updated": "2016-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CA PHARMACY",
"identifier": "56059",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.