DR. TAE WON JUNG D.O
NPI 1891925889
Family Medicine in Roseville, CA
About Dr. Tae Won Jung D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAE WON JUNG D.O (NPI 1891925889) is an individual family medicine provider in Roseville, California, licensed in California (20A13428) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tae Won Jung D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95678 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95678
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 Tae Jung's NPI number?
The NPI number for Tae Jung is 1891925889. It was assigned to this individual provider in the NPPES registry on July 23, 2009.
Where is Tae Jung located?
Tae Jung practices at 1001 Riverside Ave, Roseville, CA 95678. The listed phone number is (916) 784-4050.
What is Tae Jung's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tae Jung enrolled in Medicare?
Yes. Tae Jung is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tae Jung was last updated on September 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Tae Won Jung, D.O · NPI 1891925889
Family Medicine physician in Roseville, California. Individual provider, active in the CMS NPPES registry since July 23, 2009.
## Identity
- **NPI:** 1891925889 (Entity type: Individual)
- **Enumerated:** July 23, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A13428 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 RIVERSIDE AVE, Roseville, CA 95678-5134
- **Phone:** (916) 784-4050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 21, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1891925889) · Data from the CMS NPPES public registry.