Active NPI
Chun K. Ryu, M.D.
- Psychiatry Physician
- Santa Ana, CA
National Provider Identifier
1972775252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A25717
- Practice address
- 1633 E 4TH St
Santa Ana, CA 92701-5163 - Phone
- (714) 543-4447
- Fax
- (714) 543-4488
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A25717 | CA | Primary |
Addresses
Primary practice location
1633 E 4TH St
Santa Ana, CA 92701-5163
Mailing address
1633 E 4TH St
Santa Ana, CA 92701-5163
Phone (714) 543-4447
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryu Medical Corporation | Past | Accepting new patients | |
| Chun K. Ryu, M.D. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Santa Ana, CA
- NPI 1275620429
-
- Adult Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1578944690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1972775252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 E 4TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015163",
"telephone_number": "714-543-4447",
"fax_number": "714-543-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 E 4TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015163",
"telephone_number": "714-543-4447",
"fax_number": "714-543-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYU",
"first_name": "CHUN",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A25717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Ryu Medical Corporation
- S Alexander Soleimani Dental Corp
- S. Myron Goldstein MD Facs Inc
- S.a.G.E. Holistic Health & Wellness Center
- S.a.G.E. Holistic Individual, Marriage & Family Therapy Professional C
- Sa Medical Center Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.