Individual provider Active NPI

Hyonsuk Jung

  • Infection Control Registered Nurse
  • Oakland, CA
National Provider Identifier
1871205211
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
595513 Issued in CA
Practice address
301 E 18TH St
Oakland, CA 94606-1813
Phone
(510) 271-0103
NPI assigned
Dec 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X 595513 CA Primary

Addresses

Primary practice location

301 E 18TH St
Oakland, CA 94606-1813

Mailing address

1937 Highridge CT
Walnut Creek, CA 94597-2932
Phone (415) 279-8032

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
595513CAMDInfection Control Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Dec 18, 2022 Accepting new patients
Walgreen Co PastSince Dec 18, 2022 Accepting new patients

Locations

301 E 18th St
Oakland, CA 94606
Phone (510) 271-0103

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1871205211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 HIGHRIDGE CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972932",
            "telephone_number": "415-279-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 18TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061813",
            "telephone_number": "510-271-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "HYONSUK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "CA",
            "license": "595513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.