Individual provider Active NPI

Alfred Sung, D.C.

  • Chiropractor
  • Belmont, CA
National Provider Identifier
1851332183
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-263180 Issued in CA
Practice address
540 Ralston Ave
Suite D
Belmont, CA 94002-2869
Phone
(650) 593-2888
Fax
(650) 593-2880
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-263180 CA Primary

Addresses

Primary practice location

540 Ralston Ave
Suite D
Belmont, CA 94002-2869

Mailing address

540 Ralston Ave
Suite D
Belmont, CA 94002-2869
Phone (650) 593-2888

Other identifiers 1

IdentifierTypeStateIssuer
DC0263180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090609000338 CA Practitioner - Chiropractic 1052461209 Practice locations: Belmont, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

540 Ralston Ave
Suite D
Belmont, CA 94002-2866
Phone (650) 593-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26318CAMDClinical Social Worker
DC-263180CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Health Chiropractic Chiropractor Past Accepting new patients
Benson Chiropractic, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alfred.sung@gc-ca.direct.office.nextgen.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1851332183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RALSTON AVE",
            "address_2": "SUITE D",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022869",
            "telephone_number": "650-593-2888",
            "fax_number": "650-593-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RALSTON AVE",
            "address_2": "SUITE D",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022869",
            "telephone_number": "650-593-2888",
            "fax_number": "650-593-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-263180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0263180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.