DR. CARRIE DIANNE CHUN


Address: 15004 Innovation Dr, San Diego, CA 92128-3491
Phone: 8586057131

DR. CARRIE DIANNE CHUN (NPI# 1447271796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447271796
Entity Type Individual
Full Name DR. CARRIE DIANNE CHUN
Credential MD
Practice Address 15004 Innovation Dr
San Diego
CA 92128-3491
Mailing Address 10790 Rancho Bernardo Rd
San Diego
CA 92127-5705
Practice Telephone 8586057131
Mailing Telephone 8586057131
Enumeration Date 2006-07-22
Last Update Date 2018-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
A81513 CA Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
A81513 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8465825 05

Office Location

Street Address 15004 INNOVATION DR
City SAN DIEGO
State CA
Zip Code 92128-3491

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851376222 Scripps Clinic Medical Group Clinic/Center 15004 Innovation Dr, San Diego, CA 92128-3491 2005-12-08
1023642097 Amy Joelle Chamberlain Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-27
1790318715 Cameron Devany Speech-Language Pathologist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-18
1851924252 Janelle Marie Wilson Physical Therapy Assistant 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-14
1285267617 Mitchell Russo Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1427681873 Lucy Santillan Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1740813112 Monique Munro Werner Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1003449422 Margaret Ann Fuller Occupational Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1023641586 Katie Jo Rodgers Speech-Language Pathologist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-12
1649802166 Irina Keefer Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585371 Alicia Ford Behavior Technician 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 2020-07-08
1164087573 Madeleine White Dietitian, Registered 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 2019-05-01
1053807677 Joele Ghosn Speech-Language Pathologist 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 2018-07-06
1376034348 Eddie Reginald Burston II In Home Supportive Care 12727 Camino Emparrado, San Diego, CA 92128 2018-05-24
1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
1205212586 Mobilia Dmd Inc. Point of Service 12405 Rancho Bernardo Rd., San Diego, CA 92128 2015-08-10
1346623634 Angela Christine Storck-petersen Dietitian, Registered 11768 Caminito Corriente, San Diego, CA 92128 2015-07-04
1134526874 Breeana Rose Lancaster Speech-Language Pathologist 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 2014-11-24
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780187229 Jesse Robles Internal Medicine 651 Sunnyside Ave, San Diego, CA 92114-4945 2018-03-12
1730333014 Ashish Agrawal Md Inc Internal Medicine 4020 Eagle St, San Diego, CA 92103-1917 2008-11-12
1780797381 Huan A. Le Internal Medicine 5507 El Cajon Blvd #c, San Diego, CA 92115 2006-08-16
1437170693 Joseph Resnikoff, M.d., F.c.c.p. Internal Medicine 4033 3rd Ave Ste 300, San Diego, CA 92103-2138 2006-07-22
1659339745 Smita A Desai Internal Medicine 200 W. Arbor Drive, #8373, San Diego, CA 92103-8373 2006-05-01
1598732604 Houman Dahi Internal Medicine 501 Washington St Ste 508, San Diego, CA 92103-2231 2006-03-07
1427028927 Tony S Han Internal Medicine 12373 Grandee Rd, San Diego, CA 92128-2161 2006-01-25
1841292521 Chest Medicine and Critical Care Medical Group, Inc. Internal Medicine 7910 Frost Street, Suite 245, San Diego, CA 92123 2005-08-12
1447886239 Lung and Sleep Medicine Consultants, Inc. Internal Medicine 6655 Alvarado Rd, San Diego, CA 92120-5208 2020-03-12
1699317644 Avicenna Critical Care, PC Internal Medicine 1940 El Cajon Blvd, San Diego, CA 92104-1005 2019-10-10
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Competitor

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City SAN DIEGO
Zip Code 92128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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