Individual provider Active NPI

Karen Chung, MD

  • Family Medicine Physician
  • Davis, CA
National Provider Identifier
1699100560
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A142583 Issued in CA
Practice address
2660 W Covell Blvd
Davis, CA 95616-5645
Phone
(530) 747-3000
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A142583 CA Primary

Addresses

Primary practice location

2660 W Covell Blvd
Davis, CA 95616-5645

Mailing address

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922000993 CA Practitioner - Family Practice 1153618970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Sacramento, CA, CCN 557073
  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142583CAMDMarriage & Family Therapist
A142583CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Mar 14, 2022 Accepting new patients
Regents of the University of California CurrentSince Mar 14, 2022 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2660 W Covell Blvd
Ste A
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Fl 2
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1699100560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 W COVELL BLVD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165645",
            "telephone_number": "530-747-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W COVELL BLVD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165645",
            "telephone_number": "530-747-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A142583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.