Active NPI
Oi Y. Chung, P.A.,N.P.
- Physician Assistant
- Monterey Park, CA
National Provider Identifier
1104085893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19610
- Practice address
- 525 N Garfield Ave
Monterey Park, CA 91754-1202 - Phone
- (626) 573-2222
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19610 | CA | Primary |
| Nurse Practitioner | 363L00000X | NP584426 | CA |
Addresses
Primary practice location
525 N Garfield Ave
Monterey Park, CA 91754-1202
Mailing address
PO Box 660579
Arcadia, CA 91066-0579
Phone (626) 447-0296
Other practice location 1
2710 Gateway Oaks Dr Ste 150N
Sacramento, CA 95833-3502
Phone (646) 876-8455
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP584426 | CA | MD | Nurse Practitioner |
| 19610 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael S. Agron, M.D., Inc. | Past | Accepting new patients | |
| Glendale Emergency Medical Associates, Inc | Past | Accepting new patients |
Interoperability endpoints
- oi.chung.2@22307.direct.athenahealth.com
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.
-
- Gastroenterology Physician
- Monterey Park, CA
- NPI 1073020186
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1588606834
-
- Emergency Medicine Physician
- Arcadia, CA
- NPI 1699716100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1104085893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660579",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910660579",
"telephone_number": "626-447-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N GARFIELD AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541202",
"telephone_number": "626-573-2222"
}
],
"practiceLocations": [
{
"address_1": "2710 Gateway Oaks Dr Ste 150N",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958333502",
"country_code": "US",
"telephone_number": "646-876-8455",
"fax_number": "914-565-8656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "OI",
"middle_name": "Y.",
"credential": "P.A.,N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19610",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP584426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.