Individual provider Active NPI

Nancy Chung Kamimura, FNP

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1063850212
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22269 Issued in CA
Practice address
1809 W Chapman Ave
Orange, CA 92868-2605
Phone
(800) 881-5101
NPI assigned
Jun 10, 2013
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22269 CA Primary

Addresses

Primary practice location

1809 W Chapman Ave
Orange, CA 92868-2605

Mailing address

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

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
I20160106001631 CA Practitioner - Nurse Practitioner 8325340409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Transitional Care, LLC CurrentSince Oct 10, 2015 Accepting new patients
UC Regents CurrentSince Apr 23, 2024 Accepting new patients
UC Regents Current Accepting new patients
UC Regents CurrentSince Apr 23, 2024 Accepting new patients
Pavilion Neurology Medical Group Inc. CurrentSince Sep 4, 2018 Accepting new patients
UC Regents Past Accepting new patients
Bio-Medical Applications of California, Inc. PastSince Apr 14, 2024 Accepting new patients
Bio-Medical Applications of California, Inc. PastSince Apr 14, 2024 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

5161 California Ave
Ste 200
Irvine, CA 92617
Phone (949) 543-0124

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1140 W La Veta Ave
Ste 730
Orange, CA 92868
Phone (714) 541-6800

Organizations & group practices 9

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1063850212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682605",
            "telephone_number": "800-881-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIMURA",
        "first_name": "NANCY",
        "middle_name": "CHUNG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.