Wayne Chun

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

TCH3651 Issued in CA

Practice address

265 Heron Dr
Pittsburg, CA 94565-1916

Phone

(925) 439-2302

Fax

(925) 439-2302

NPI assigned

Jan 31, 2020

Sex

Male

Sole proprietor

Yes

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1740811314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 HERON DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945651916",
            "telephone_number": "510-610-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 HERON DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945651916",
            "telephone_number": "925-439-2302",
            "fax_number": "925-439-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Sand Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318687",
            "country_code": "US",
            "telephone_number": "925-813-7280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": "CA",
            "license": "TCH3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukh Chauhan, D.D.S., B.D.S.
• Sergio Chavarria Jr., DDS
• Hui Cheng, RPH
• Beverley Chiang
• Kate Thamina Christensen, MD
• Doyon Chung, DMD
• City Center Pharmacy II, Inc.
• City Center Pharmacy Inc
• Allen Dwane Clark
• Laniek Clarke, PPS

• Technician/Technologist in Pittsburg, CA
• Providers in Pittsburg, CA by specialty
• Technician/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.