JENNIFER PHUONG CHUNG (NPI# 1457838658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457838658 |
| Entity Type | Individual |
| Full Name | JENNIFER PHUONG CHUNG |
| Credential | DMD |
| Practice Address |
150 Tejas Pl Nipomo CA 93444-9123 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8059293254 |
| Practice Fax Number | 8059312569 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 102576 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609126622 | Jennifer A Chung | Counselor | 3380 162nd St, Flushing, NY 11358-1327 | 2012-09-17 |
| 1538370127 | Jennifer Jian Chung | Nurse Anesthetist, Certified Registered | 1825 Samuel Morse Dr., Reston, VA 20190 | 2007-05-24 |
| 1376057521 | Jennifer Chung | Dietitian, Registered | 1432 5th Ave, New York, NY 10035-4521 | 2017-11-27 |
| 1336586924 | Jennifer Chung | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2013-05-23 |
| 1467746826 | Jennifer Lynn Chung | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2011-06-02 |
| 1831489566 | Jennifer Marshall Chung | Internal Medicine | 12348 Old Tesson Rd, Suite 250, Saint Louis, MO 63128-2251 | 2011-04-14 |
| 1356642854 | Jennifer Chung | Social Worker | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2010-11-15 |
| 1841498722 | Jennifer Chung | Physical Medicine & Rehabilitation | 9250 Blue Ash Rd, Blue Ash, OH 45242-6822 | 2007-07-03 |
| 1659480465 | Jennifer E Chung | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-08-29 |
| Street Address |
150 TEJAS PL |
| City | NIPOMO |
| State | CA |
| Zip Code | 93444-9123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390254 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2005-10-19 |
| 1295355865 | Alberta Vega | Dental Hygienist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2020-04-23 |
| 1891331641 | Alice Wong | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-11-26 |
| 1629613146 | Erica Arkiszewski | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-11-07 |
| 1740833565 | Jillianne Quinn | Physician Assistant | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-07-21 |
| 1316509193 | Kyle Cohen | Physician Assistant | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-07-02 |
| 1972081511 | Efren Jose Almeida | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2018-08-06 |
| 1609319045 | Elizabeth Castillejo | Dietitian, Registered | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2016-12-01 |
| 1043768336 | Robert Alan Reed | Pharmacist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2016-09-14 |
| 1760840680 | Franco Jason Castrejon | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2016-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1679109995 | Community Health Clinical Laboratory LLC | Clinical Medical Laboratory | 150 Tejas Place, Bldg. B Suite A, Nipomo, CA 93444 | 2020-03-18 |
| 1134500770 | Dena Lou Smith | Surgery | 615 Black Ridge Lane, Nipomo, CA 93444 | 2015-06-09 |
| 1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
| 1619393220 | Anka Behavioral Health Inc. | Community/Behavioral Health | 340 Pablo Ln, Nipomo, CA 93444 | 2014-03-07 |
| 1417382052 | Hannah Song Evans | Counselor | 117 E. Knotts St., Nipomo, CA 93444 | 2013-09-12 |
| 1457615817 | Haylie Jenna Pennachio | Counselor | 508 Angelina Court, Nipomo, CA 93444 | 2012-06-30 |
| 1144513557 | Owen Charles Martin | Counselor | 860 Camino Caballo, Nipomo, CA 93444 | 2011-05-18 |
| 1124273701 | Tanya Susan Mccaffrey | Specialist | 255 North Willson, Suite C, Nipomo, CA 93444 | 2008-11-24 |
| 1548431117 | Andrew J Young | Dentist | 255 North Wilson St, Suite D, Nipomo, CA 93444 | 2008-03-21 |
| Find all providers in zip 93444 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740306133 | Daniel Steven Cook | Dentist | 195 N Thompson Ave, Suite 3, Nipomo, CA 93444-9029 | 2007-03-21 |
| 1982763579 | Brian N Beres | Dentist | 255 N Wilson St, Suite A, Nipomo, CA 93444-0858 | 2006-12-08 |
| 1972081511 | Efren Jose Almeida | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2018-08-06 |
| 1124415658 | Ng Dental Corp | Dentist | 195 N Thompson Ave, Ste. 3, Nipomo, CA 93444-9029 | 2015-04-22 |
| 1316296155 | Trey Stephen Jangaard | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2012-09-07 |
| 1023391034 | Edward Shapiro | Dentist | 530 W Tefft St, Nipomo, CA 93444-8946 | 2011-09-26 |
| 1548416365 | Shannon R Olson | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2008-08-12 |
| 1184812984 | Raj Bhupendra Lotwala | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2007-10-05 |
| 1679771174 | Malia Lynn Johnson | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
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| 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.