Nancy C Chung, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A61456 Issued in CA

Practice address

407 W Imperial Hwy
H-171
Brea, CA 92821-4832

Phone

(562) 365-3540

Fax

(714) 990-2754

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Children'S Hospital Los Angeles Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265530653

  Pediatrics

  Medicare reassignment NPD
• Regents of the University of California

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1811255060
  Medicare reassignment NPD
• Ucr Health - Psychiatry

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1336679109
  NPD
• Children'S Hospital Los Angeles

  • Children's Chronic Disease Hospital
  • Los Angeles, CA
  • NPI 1366527954
  NPD (past)
• Pediatrix Medical Group of California, a Professional Corporation

  • Neonatal-Perinatal Medicine Physician
  • Sunrise, FL
  • NPI 1316041833

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1093943375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY",
            "address_2": "H-171",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214832",
            "telephone_number": "562-365-3540",
            "fax_number": "714-990-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY",
            "address_2": "H-171",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214832",
            "telephone_number": "562-365-3540",
            "fax_number": "714-990-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "NANCY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A61456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garvin Chu, M.D.
• Brendalyn Ong Chua Ching, D.M.D.
• Kristine A Chua
• Jean Chung, L.AC.
• Joanne Chung
• Vanessa Chung, D.D.S.
• Laura Cisneros, LMFT
• City of Brea
• Clinician Home Health Services, Inc.
• Clinique Moliere Corporation

• Pediatrics Physician in Brea, CA
• Providers in Brea, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.