Marilda Hernandez Chung, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G74478 Issued in CA

Practice address

900 Hyde St
San Francisco, CA 94109-4806

Phone

(415) 353-6338

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alta East Bay Pathology, Inc.

  • Clinical Medical Laboratory
  • Oakland, CA
  • NPI 1316909559

  Single Specialty

  NPD
• L.B. Carr Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • San Francisco, CA
  • NPI 1740293406

  Single Specialty

  NPD (past)
• San Jose Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Campbell, CA
  • NPI 1053305532

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1770527327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29364",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631260364",
            "telephone_number": "415-353-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HYDE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094806",
            "telephone_number": "415-353-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MARILDA",
        "middle_name": "HERNANDEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "G74478",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G74478",
            "primary": true
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "CA",
            "license": "G74478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G744780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph C Chung
• Julia Kay Chung, AUD
• Kay Bohwa Chung
• Macy Meisze Chung, RN
• Maggie Chung
• Michael Chung, DDS
• Nicole F Chung, PSY.D.
• Paul Junyoung Chung, MD
• Priscilla Wing Jy Chung, DPT
• Rachman Leonard Chung, DC, DACNB

• Anatomic Pathology & Clinical Pathology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.