John Anthony Nungaray

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2713 S Norfolk St Apt 203
San Mateo, CA 94403-1601

Phone

(619) 792-8643

NPI assigned

Oct 6, 2023

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: johnnungaray@clchc.allscriptsdirect.net

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.

• Celebrating Life Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mission Viejo, CA
  • NPI 1386273100
  NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1720869647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 S NORFOLK ST APT 203",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 S NORFOLK ST APT 203",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031601",
            "telephone_number": "619-792-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNGARAY",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siaka Nuah, BEHAVIOR TECHNICIAN
• Scherwin John Nubla
• Sarah Nuega
• Albert Yap Nuevo, RN
• Julia Nunan-Saah, PHD
• Nursing & Rehab at Home
• Nurturly Kids Physical Therapy, PC
• Linda Nwoga
• Angela Chinaza Nwokike
• Joel O'Beso, PSY.D.

• Physician Assistant in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.