JESSE TUNG
NPI 1114634185
Nurse Practitioner - Family in San Bruno, CA
About Jesse Tung NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE TUNG (NPI 1114634185) is an individual family provider in San Bruno, California, licensed in California (95015292) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jesse Tung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jesse Tung reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jesse Tung's NPI number?
The NPI number for Jesse Tung is 1114634185. It was assigned to this individual provider in the NPPES registry on October 31, 2022.
Where is Jesse Tung located?
Jesse Tung practices at 10 Bayhill Shopping Center, San Bruno, CA 94066. The listed phone number is (650) 873-9522.
What is Jesse Tung's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesse Tung enrolled in Medicare?
Yes. Jesse Tung is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jesse Tung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Tung reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Lancaster, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Tung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jesse Tung was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jesse Tung · NPI 1114634185
Family physician in San Bruno, California. Individual provider, active in the CMS NPPES registry since October 31, 2022.
## Identity
- **NPI:** 1114634185 (Entity type: Individual)
- **Enumerated:** October 31, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95015292 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 BAYHILL SHOPPING CENTER, San Bruno, CA 94066
- **Phone:** (650) 873-9522
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Molina Healthcare Of California (NPI 1508970955, Lancaster, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114634185) · Data from the CMS NPPES public registry.