Individual provider Active NPI

Ronald Paul Chun, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1730162264
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04945700 Issued in NJ
Practice address
2221 Martin Luther King Jr Way
Oakland, CA 94612-1318
Phone
(510) 267-7800
Fax
(510) 267-7870
NPI assigned
Nov 29, 2005
Last updated
Aug 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04945700 NJ Primary

Addresses

Primary practice location

2221 Martin Luther King Jr Way
Oakland, CA 94612-1318

Mailing address

2221 Martin Luther King Jr Way
Oakland, CA 94612-1318
Phone (510) 267-7800

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
I20150923002534 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0345438115

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1730162264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 MARTIN LUTHER KING JR WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121318",
            "telephone_number": "510-267-7800",
            "fax_number": "510-267-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 MARTIN LUTHER KING JR WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121318",
            "telephone_number": "510-267-7800",
            "fax_number": "510-267-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04945700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.