Individual provider Active NPI

Sara Chung, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1871318790
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34938 Issued in CA
Practice address
675 18TH St
San Francisco, CA 94143-4200
Phone
(408) 242-9782
NPI assigned
Nov 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34938 CA
Clinical Psychologist 103TC0700X 34938 CA Primary

Addresses

Primary practice location

675 18TH St
San Francisco, CA 94143-4200

Mailing address

1050 Kiely Blvd #2742
Santa Clara, CA 95055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529002053 CA Practitioner - Clinical Psychologist 8527587864 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34938CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Psychiatry Psychologist CurrentSince Mar 17, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 17, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Mar 17, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 17, 2025 Accepting new patients
University of California San Francisco CurrentSince Mar 17, 2025 Accepting new patients

Locations

225 California Dr
Ste PB5250
Burlingame, CA 94010

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 6

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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1871318790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 KIELY BLVD #2742",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941434200",
            "telephone_number": "408-242-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SARA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "34938",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.