Organization Active NPI

Mee-Jin Chong, M.D., Professional Corporation

  • Family Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1891095550
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A485210 Issued in CA
Legal business name
MEE-JIN CHONG, M.D., PROFESSIONAL CORPORATION
Practice address
1828 Mt Diablo Blvd
Suite B
Walnut Creek, CA 94596-4410
Phone
(925) 932-8820
Fax
(925) 932-8938
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Dr. Mee-Jin Chong, M.D.NPI 1407994072
Title
President
Phone
(925) 932-8820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A485210 CA Primary

Addresses

Primary practice location

1828 Mt Diablo Blvd
Suite B
Walnut Creek, CA 94596-4410

Mailing address

1828 Mt Diablo Blvd
Suite B
Walnut Creek, CA 94596-4410
Phone (925) 932-8820

National Provider Directory

National Provider Directory

Locations

1828 Mt Diablo Blvd
Ste B
Walnut Creek, CA 94596
Phone (925) 932-8820

1828 Mt Diablo Blvd
#B
Walnut Creek, CA 94596
Phone (925) 932-8820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1891095550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 MT DIABLO BLVD",
            "address_2": "SUITE B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964410",
            "telephone_number": "925-932-8820",
            "fax_number": "925-932-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 MT DIABLO BLVD",
            "address_2": "SUITE B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964410",
            "telephone_number": "925-932-8820",
            "fax_number": "925-932-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEE-JIN CHONG, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "MEE-JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-932-8820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A485210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.