Jackie Chung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009283 Issued in CT

Practice address

Santa Barbara Community Based Outpatient Clinic
4440 Calle Real Ave
Santa Barbara, CA 93110-8639

Phone

(805) 638-1491

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700831963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W. VICTORIA AVE #6",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA BARBARA COMMUNITY BASED OUTPATIENT CLINIC",
            "address_2": "4440 CALLE REAL AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931108639",
            "telephone_number": "805-638-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JACKIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Brian Christopherson, MA, BCBA
• Antoinette Chroman, ED.S
• Chronic Care Medicinals LLC
• Linda Chu, MD
• Grace Chung
• Katherine Chung, MD
• Matthew Charles Chung, LMFT
• Richard Y Chung, M.D. PH.D.
• Steven Chung, RPH, PHARM.D
• Mei Mei Lim Church, NP

• General Practice Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.