Organization Active NPI

Medex City Network

  • Internal Medicine Physician
  • Yucaipa, CA
National Provider Identifier
1790501393
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDEX CITY NETWORK
Practice address
12165 1St St
Yucaipa, CA 92399-4357
Phone
(909) 809-0289
Fax
(855) 233-7921
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Dr. Jun Ratunil Chiong, MD, MPH
Title
Ceo/President
Phone
(909) 809-0289

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

12165 1St St
Yucaipa, CA 92399-4357

Mailing address

1605 Valle del Sol
Redlands, CA 92373-7438
Phone (909) 809-0289

Other practice location 1

461 Tennessee St Ste C
Redlands, CA 92373-8161
Phone (909) 757-5858

National Provider Directory

National Provider Directory

Locations

12165 1st St
Yucaipa, CA 92399
Phone (909) 809-0289

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1790501393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 VALLE DEL SOL",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737438",
            "telephone_number": "909-809-0289",
            "fax_number": "855-233-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 1ST ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994357",
            "telephone_number": "909-809-0289",
            "fax_number": "855-233-7921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "461 Tennessee St Ste C",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923738161",
            "country_code": "US",
            "telephone_number": "909-757-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDEX CITY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "CHIONG",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "RATUNIL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-809-0289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.