DR. JUN HO CHAE (M.D.) – Family Medicine Physician, NPI 1003811969

DR. JUN HO CHAE (M.D.) is a healthcare provider. based in Irvine, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD2005-0303 (NM). The NPI Number for DR. JUN HO CHAE (M.D.) is 1003811969

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUN HO CHAE (M.D.)
NPI
1003811969
Phone
Not provided
Address
6 WILLARD
Enumeration Date
16 June 2005
Last Update Date
4 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7142542747
Graduation Year
1994 (32 years ago)
PAC ID
9234160912
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20080922000383
Address ID
CA928011900AN1188XSTXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

13,190 FAMILY PRACTICE in CA

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Provider Addresses for DR. JUN HO CHAE (M.D.)

  • Bristol Park Medical Group, 6, Willard, Woodbridge, Irvine, Orange County, California, 92604, United States

    KAISER PERMANENTE BARRANCA MEDICAL OFFICE

    IRVINE, CA 926044694

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080922000383IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JUN HO CHAE (M.D.)?
NPI 1003811969 is assigned to DR. JUN HO CHAE (M.D.) under the national enumeration system.
Does this profile mean DR. JUN HO CHAE (M.D.) is currently active?
Yes — DR. JUN HO CHAE (M.D.) appears active in the national provider directory.
What does DR. JUN HO CHAE (M.D.) treat or focus on?
Patients typically see DR. JUN HO CHAE (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JUN HO CHAE (M.D.)?
The snapshot lists Irvine, California for DR. JUN HO CHAE (M.D.); download NPPES for the complete set.
What if Irvine, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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