RICHARD B. D. CHUN M.D. PROFESSIONAL CORPORATION NPI 1003000563

NPI Information

NPI: 1003000563
Provider Name: RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
729 SUNRISE AVE
STE 619
ROSEVILLE, CA
ZIP 95661
Phone: (916) 783-7118
Get Directions

RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION is a primary care clinic center in Roseville, CA. RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION NPI is 1003000563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

729 SUNRISE AVE
STE 619
ROSEVILLE, CA
ZIP 95661-548
Phone: (916) 783-7118

The provider's authorized official is Richard B. Chun .
The authorized official title is President and has the following contact phone number (916) 783-7118.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 4/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	C28231	CALIFORNIA	No
2	261QP2300X	Clinic/Center	Primary Care	C28231	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E33595	MEDICARE UPIN	CALIFORNIA
2	00C282310	MEDICAID	CALIFORNIA
3	00C282310	MEDICARE PIN	CALIFORNIA
4	00C282310	OTHER	CALIFORNIA	BLUE SHIELD
5	ZZZ23011Z	MEDICARE PIN	CALIFORNIA
6	110233272	OTHER	CALIFORNIA	RAILROAD MEDICARE-PGBA
7	=========	OTHER		TIN/EIN
8	C28231	OTHER	CALIFORNIA	BLUE CROSS
9	110233272	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »