Active NPI
Vanessa Chung, D.D.S.
- Dentist
- Brea, CA
National Provider Identifier
1962893511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63760
- Practice address
- 745 N Brea Blvd
Brea, CA 92821-3334 - Phone
- (714) 990-0126
- NPI assigned
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63760 | CA | Primary |
Addresses
Primary practice location
745 N Brea Blvd
Brea, CA 92821-3334
Mailing address
13302 Presidio PL
Tustin, CA 92782-8607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor R. Camones DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthodontics
- Brea, CA
- NPI 1649572330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1962893511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13302 PRESIDIO PL",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927828607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 N BREA BLVD",
"city": "BREA",
"state": "CA",
"postal_code": "928213334",
"telephone_number": "714-990-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "VANESSA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.