Jayme Chung, ACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95016703 Issued in CA

Practice address

16918 Dove Canyon Rd Ste 103
San Diego, CA 92127-3455

Phone

(858) 649-5100

NPI assigned

Nov 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1861794943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16918 DOVE CANYON RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273455",
            "telephone_number": "858-649-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 Hayes St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032650",
            "country_code": "US",
            "telephone_number": "615-312-3333",
            "fax_number": "615-320-7091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JAYME",
        "name_prefix": "Ms.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522653",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Chung
• Christine B Chung, MD
• Christopher Haewook Chung, DOCTOR OF PHARMACY
• Crystal Kit-Ying Chung, PHARMD
• Jasmine Chung
• Joan Soon Chung, M.D.
• Jonathan Hero Chung
• Joyce W. Chung, M.D.
• Junhee Chung
• Kiyon Chung, MD

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.