Individual provider Active NPI

Deborah A. Chong, M.D.

  • Obstetrics & Gynecology Physician
  • Grass Valley, CA
National Provider Identifier
1902880297
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A84318 Issued in CA
Practice address
280 Sierra College Dr Ste 115
Grass Valley, CA 95945-5763
Phone
(530) 477-3119
Fax
(530) 274-2077
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A84318 CA Primary

Addresses

Primary practice location

280 Sierra College Dr Ste 115
Grass Valley, CA 95945-5763

Mailing address

3400 Data Dr
Attn Credentialing/Payer Enrollmetn
Rancho Cordova, CA 95670-7956

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
I20031219000612 CA Practitioner - Obstetrics/Gynecology 9739087495 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of California Medical Group IncGroup PAC ID 9234388745, 12 clinicians

Practice addresses (Care Compare)

1800 N California St
Stockton, CA 95204-6019
Phone (919) 358-5014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
Marshall Medical Center Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Contra Costa County CurrentSince Jul 19, 2024 Accepting new patients
P. Gill Obstetrics & Gynecology Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jan 5, 2026 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 7, 2023 Accepting new patients
Contra Costa County Current Accepting new patients
DHP of California Medical Group Inc Obstetrics & Gynecology CurrentSince Nov 26, 2021 Accepting new patients
Rideout Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Contra Costa County CurrentSince Jul 19, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 7, 2023 Accepting new patients
Enloe Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Marshall Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Marshall Medical Center Past Accepting new patients

Locations

1665 Esplanade
Chico, CA 95926
Phone (530) 332-5070

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1617 N California St
Ste 2A
Stockton, CA 95204
Phone (209) 466-8546

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Interoperability endpoints

  • Direct secure messaging: dchong218560@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1902880297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTN CREDENTIALING/PAYER ENROLLMETN",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SIERRA COLLEGE DR STE 115",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455763",
            "telephone_number": "530-477-3119",
            "fax_number": "530-274-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A84318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.