Individual provider Active NPI

Michelle Mi Chun, CPO

  • Prosthetic/Orthotic Supplier
  • Visalia, CA
National Provider Identifier
1851879829
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPO03921 Issued in CA
Practice address
820 S Akers St Ste 230
Visalia, CA 93277-8307
Phone
(559) 732-3957
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CPO03921 CA Primary

Addresses

Primary practice location

820 S Akers St Ste 230
Visalia, CA 93277-8307

Mailing address

820 S Akers St Ste 230
Visalia, CA 93277-8307
Phone (559) 732-3957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPO03921CAMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Orthopedic Inc. Prosthetic/Orthotic Supplier CurrentSince Aug 8, 2021 Accepting new patients

Locations

25 S Raymond Ave
Ste 203
Alhambra, CA 91801
Phone (626) 703-4603

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1851879829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 230",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778307",
            "telephone_number": "559-732-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 230",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778307",
            "telephone_number": "559-732-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "MICHELLE",
        "middle_name": "MI",
        "name_prefix": "Miss",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CPO03921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.