Individual provider Active NPI

Jeany Leong Kung

  • Adult Health Nurse Practitioner
  • Monterey Park, CA
National Provider Identifier
1033765839
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP95008787 Issued in CA
Practice address
2325 Findlay Ave
Monterey Park, CA 91754-7015
Phone
(323) 490-7253
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NP95008787 CA
Adult Health Nurse Practitioner 363LA2200X NP95008787 CA Primary

Addresses

Primary practice location

2325 Findlay Ave
Monterey Park, CA 91754-7015

Mailing address

2325 Findlay Ave
Monterey Park, CA 91754-7015
Phone (323) 490-7253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112000883 CA Practitioner - Nurse Practitioner 4981014453 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95008787CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg, a Professional Medical Corporation CurrentSince Mar 30, 2024 Accepting new patients
Amistad Multi Specialty Medical Group Inc. PastSince Aug 11, 2020 Accepting new patients
Omni Family Health PastSince Aug 11, 2020 Accepting new patients

Locations

333 S Garfield Ave
Ste A
Alhambra, CA 91801
Phone (626) 284-1997

925 S Garfield Ave
Alhambra, CA 91801
Phone (626) 300-8388

710 N Euclid St
Ste 101
Anaheim, CA 92801
Phone (714) 517-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1033765839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 FINDLAY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547015",
            "telephone_number": "323-490-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 FINDLAY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547015",
            "telephone_number": "323-490-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "JEANY",
        "middle_name": "LEONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP95008787",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95008787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.