Individual provider Active NPI

Jessica Chieh-Ting Chuang, M.D.

  • Occupational Medicine Physician
  • Orange, CA
National Provider Identifier
1861802613
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
60733222 Issued in CA
Practice address
101 The City Hope Dr S
Orange, CA 92868
Phone
(626) 233-7475
NPI assigned
May 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Occupational Medicine Physician 2083X0100X 60733222 CA Primary

Addresses

Primary practice location

101 The City Hope Dr S
Orange, CA 92868

Mailing address

1001 Portrero Ave BLDG 30
Room 3500, Box 0843
San Francisco, CA 94110-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916000671 CA Practitioner - Internal Medicine 1850620915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60733222CAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett V. Curtis, MD, a Professional Corporation, Inc. CurrentSince Jul 12, 2023 Accepting new patients

Locations

101 Casa Buena Dr
Corte Madera, CA 94925
Phone (415) 886-4952

411 3rd St
San Rafael, CA 94901
Phone (415) 854-7159

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1861802613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PORTRERO AVE BLDG 30",
            "address_2": "ROOM 3500, BOX 0843",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY HOPE DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "626-233-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "JESSICA",
        "middle_name": "CHIEH-TING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "60733222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.