Active NPI
Peggy Tun, M.D.
- Pediatric Clinical & Laboratory Immunology Physician
- Mountain View, CA
National Provider Identifier
1689680100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical & Laboratory Immunology Physician
- License
- G27696
- Practice address
- 2490 Hospital Dr Ste 311
Mountain View, CA 94040-4126 - Phone
- (650) 962-4690
- Fax
- (650) 962-4694
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Clinical & Laboratory Immunology Physician | 2080I0007X | G27696 | CA | Primary |
Addresses
Primary practice location
2490 Hospital Dr Ste 311
Mountain View, CA 94040-4126
Mailing address
2490 Hospital Dr Ste 311
Mountain View, CA 94040-4126
Phone (650) 962-4690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0098530 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G27696 | CA | MD | Pediatric Clinical & Laboratory Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1689680100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 HOSPITAL DR STE 311",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404126",
"telephone_number": "650-962-4690",
"fax_number": "650-962-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 HOSPITAL DR STE 311",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404126",
"telephone_number": "650-962-4690",
"fax_number": "650-962-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUN",
"first_name": "PEGGY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080I0007X",
"taxonomy_group": "",
"desc": "Pediatrics, Clinical & Laboratory Immunology",
"state": "CA",
"license": "G27696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0098530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.