Active NPI
Diamond Bar Medical Group
- Family Medicine Physician
- Diamond Bar, CA
National Provider Identifier
1811013394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G36420
- Legal business name
- DIAMOND BAR MEDICAL GROUP
- Practice address
- 3220 S Brea Canyon Rd
Diamond Bar, CA 91765-3481 - Phone
- (909) 594-1848
- Fax
- (909) 594-7959
- NPI assigned
- Mar 22, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Hai-Nan Chung, M.D.
- Title
- President
- Phone
- (909) 594-1848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G36420 | CA | Primary |
Addresses
Primary practice location
3220 S Brea Canyon Rd
Diamond Bar, CA 91765-3481
Mailing address
3220 S Brea Canyon Rd
Diamond Bar, CA 91765-3481
Phone (909) 594-1848
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811013394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 S BREA CANYON RD",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653481",
"telephone_number": "909-594-1848",
"fax_number": "909-594-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 S BREA CANYON RD",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653481",
"telephone_number": "909-594-1848",
"fax_number": "909-594-7959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMOND BAR MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "HAI-NAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-594-1848",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G36420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Bar, CA
- Diamond Bar Cardiovascular Medical Group Inc
- Diamond Bar Dental Group
- Diamond Bar Dermatology and Laser Center
- Diamond Bar Dermatology Center
- Diamond Bar Ear Nose & Throat Specialty Medical Group, Inc.
- Diamond Bar Occupational Therapy (Sensory Bridge Pediatric Therapy)
- Diamond Bar Optometric Center Inc (Diamond Bar Optometric Center)
- Diamond Bar Surgery Center
- Diamond Care Pharmacy, Inc. (Diamond Pharmacy)
- Diamond Home Health Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.