Calvin D Jung, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42181 Issued in CA

Practice address

9909 Mira Mesa Blvd
Ste 120
San Diego, CA 92131-1056

Phone

(858) 693-0436

Fax

(858) 693-0437

NPI assigned

Mar 19, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Safe Physical Therapy PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1982394052
  Medicare reassignment NPD Authorized official
• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1669420980
  Medicare reassignment NPD
• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • Oceanside, CA
  • NPI 1255007050
  NPD
• Barbara Jean Boutelle/Carlsbad Physical Therapy

  • Physical Therapist
  • Vista, CA
  • NPI 1003864414
  NPD
• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1699723098
  NPD (past)

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1972997690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-294-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MIRA MESA BLVD",
            "address_2": "STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311056",
            "telephone_number": "858-693-0436",
            "fax_number": "858-693-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "CALVIN",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunby Jun, NONE
• Judy Hyun Jin Jun, MD
• Andre Scott Seung Hwan Jung, M.D.
• Ara Jung
• Barbara Hedwig Jung, M.D.
• Diana Jung, PHARM.D.
• Girin Jung
• Cassandra Lee Jungers
• Nancy B Jungling, MSPT
• Nicole Junk, DPT

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.