Individual provider Active NPI

Michael Jung, MD

  • Family Medicine Physician
  • Ukiah, CA
National Provider Identifier
1912657883
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A197841 Issued in CA
Practice address
1050 N State St
Ukiah, CA 95482-3414
Phone
(707) 463-7488
Fax
(707) 468-0890
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A197841 CA Primary

Addresses

Primary practice location

1050 N State St
Ukiah, CA 95482-3414

Mailing address

1050 N State St
Ukiah, CA 95482-3414
Phone (707) 463-7488

Other practice location 1

260 Hospital Dr Ste 103
Ukiah, CA 95482-4568
Phone (707) 463-7495

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
I20251222001590 CA Practitioner - Family Practice 2466995535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

Practice addresses (Care Compare)

115 Hospital Dr
Ukiah, CA 95482-4591
Phone (707) 463-2400

1165 S Dora St
Suite D1
Ukiah, CA 95482-6353
Phone (707) 462-3111

234 Hospital Dr
Ukiah, CA 95482-4560
Phone (707) 462-0681

238 Hospital Dr
Suite a
Ukiah, CA 95482-4559

240 Hospital Dr
Ukiah, CA 95482-4558
Phone (707) 462-1928

245 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

246 Hospital Dr
Ukiah, CA 95482-4533
Phone (707) 463-8011

248 Hospital Dr
Suite B
Ukiah, CA 95482-4555
Phone (707) 467-5250

260 Hospital Dr
Ukiah, CA 95482-4568

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

275 Hospital Dr
Ukiah, CA 95482-4564

415 Hospital Dr
Ukiah, CA 95482-4545
Phone (707) 467-5230

Hospital & facility affiliations

  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A197841CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jan 1, 2026 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2026 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

260 Hospital Dr
Ste 103
Ukiah, CA 95482
Phone (707) 463-7490

1050 N State St
Ukiah, CA 95482
Phone (707) 463-7488

415 Hospital Dr
Ste A
Ukiah, CA 95482
Phone (707) 462-2945

236 Hospital Dr
Ste B
Ukiah, CA 95482
Phone (707) 462-6525

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1912657883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823414",
            "telephone_number": "707-463-7488",
            "fax_number": "707-468-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823414",
            "telephone_number": "707-463-7488",
            "fax_number": "707-468-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Hospital Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824568",
            "country_code": "US",
            "telephone_number": "707-463-7495",
            "fax_number": "707-462-3063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A197841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.