NPIMap

Organization Active NPI

Mao H. Hung,M.D.,a Medical Corporation

  • Medical Specialty Clinic/Center
  • Barstow, CA
National Provider Identifier
1740423888
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A30974 Issued in CA
Legal business name
MAO H. HUNG,M.D.,A MEDICAL CORPORATION
Practice address
313 E Buena Vista St Ste 103
Barstow, CA 92311-2861
Phone
(760) 256-7134
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Dr. Mao H Hung, M.D.
Title
President
Phone
(760) 256-7134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A30974 CA Primary

Addresses

Primary practice location

313 E Buena Vista St Ste 103
Barstow, CA 92311-2861

Mailing address

313 E Buena Vista St Ste 103
Barstow, CA 92311-2861
Phone (760) 256-7134

Other identifiers 1

IdentifierTypeStateIssuer
00A309741MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1740423888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E BUENA VISTA ST STE 103",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112861",
            "telephone_number": "760-256-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E BUENA VISTA ST STE 103",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112861",
            "telephone_number": "760-256-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAO H. HUNG,M.D.,A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "HUNG",
        "authorized_official_first_name": "MAO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-256-7134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A30974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A309741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.