Individual provider Active NPI

Maribeth Chong, M.D

  • Internal Medicine Physician
  • Carlsbad, CA
National Provider Identifier
1932134756
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51324 Issued in CA
Practice address
5930 Priestly Dr
Carlsbad, CA 92008-8812
Phone
(760) 434-6060
Fax
(760) 434-6565
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C51324 CA Primary

Addresses

Primary practice location

5930 Priestly Dr
Carlsbad, CA 92008-8812

Mailing address

5930 Priestly Dr
Carlsbad, CA 92008-8812
Phone (760) 434-6060

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
I20060123000991 CA Practitioner - Internal Medicine 4183648637 Reassigns benefits to 1 organization
Practice locations: Carlsbad, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Being Health, IncGroup PAC ID 8729338637, 2 clinicians

Practice addresses (Care Compare)

5930 Priestly Dr
Carlsbad, CA 92008-8812
Phone (760) 434-6060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific View OB-GYN Medical Group Inc CurrentSince Sep 20, 2022 Accepting new patients
Palomar Health Past Accepting new patients

Locations

6260 El Camino Real
Ste 105
Carlsbad, CA 92009
Phone (760) 434-6060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1932134756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 PRIESTLY DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088812",
            "telephone_number": "760-434-6060",
            "fax_number": "760-434-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 PRIESTLY DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088812",
            "telephone_number": "760-434-6060",
            "fax_number": "760-434-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "MARIBETH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.