NPIMap

Individual provider Active NPI

Jagdeep Singh Tung, MD

  • Hospitalist Physician
  • Manhattan Beach, CA
National Provider Identifier
1013973783
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A92233 Issued in CA
Practice address
1142 21St St
Manhattan Beach, CA 90266-2924
Phone
(949) 502-7400
Fax
(949) 502-8887
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A92233 CA Primary

Addresses

Primary practice location

1142 21St St
Manhattan Beach, CA 90266-2924

Mailing address

1142 21St St
Manhattan Beach, CA 90266-2924
Phone (949) 502-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000826 CA Practitioner - Internal Medicine 4981635554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Centinela Hospitalist Medical Group IncGroup PAC ID 3274696810, 11 clinicians

Practice addresses (Care Compare)

Hermosa Beach, CA 90254
Phone (714) 336-4225

555 E Hardy St
Inglewood, CA 90301-4011
Phone (310) 673-4660

Hospital & facility affiliations

  • Angel of Mercy Home Health Care Home health agency, Glendale, CA, CCN 559100
  • California Healthcare Services Home health agency, Hawthorne, CA, CCN 059183
  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
  • Centinela Hospital Medical Ctr Inpatient rehabilitation facility, Inglewood, CA, CCN 05T739
  • Kindred Hospital South Bay Long-term care hospital, Gardena, CA, CCN 052050
  • Primrose Post-Acute Nursing home, Inglewood, CA, CCN 055608
  • Centinela Skilled Nursing & Wellness Centre West Nursing home, Inglewood, CA, CCN 056167
  • Osage Healthcare & Wellness Centre Nursing home, Inglewood, CA, CCN 056143
  • Imperial Crest Health Care Center Nursing home, Hawthorne, CA, CCN 555719
  • Playa del Rey Center Nursing home, Playa del Rey, CA, CCN 555004

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92233CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centinela Hospitalist Medical Group Inc CurrentSince Jan 5, 2009 Accepting new patients
Jagdeep Singh Tung MD Inc CurrentSince Nov 17, 2009 Accepting new patients
Swedishamerican Hospital Past Accepting new patients
Inland Hospitalists Med GP Past Accepting new patients
Petrel Emergency Physicians, a Medical Corporation PastSince Sep 28, 2015 Accepting new patients

Locations

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1013973783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 21ST ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662924",
            "telephone_number": "949-502-7400",
            "fax_number": "949-502-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 21ST ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662924",
            "telephone_number": "949-502-7400",
            "fax_number": "949-502-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "JAGDEEP",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A92233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.