Individual provider Active NPI

Jonie Chung Morita, D.C.

  • Chiropractor
  • Diamond Bar, CA
National Provider Identifier
1104934538
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 28353 Issued in CA
Practice address
1241 S. Grand Ave
Suite C
Diamond Bar, CA 91765
Phone
(909) 860-1661
Fax
(909) 860-0125
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 28353 CA Primary

Addresses

Primary practice location

1241 S. Grand Ave
Suite C
Diamond Bar, CA 91765

Mailing address

1130 S Diamond Bar Blvd
Diamond Bar, CA 91765-2203
Phone (909) 860-1661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001166 CA Practitioner - Chiropractic 0446233456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1130 S Diamond Bar Blvd
Diamond Bar, CA 91765-2203
Phone (909) 860-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 28353CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
J Chung Morita Chiropractic Inc. Chiropractor CurrentSince May 28, 2004 Accepting new patients

Locations

202 S 1st Ave
Arcadia, CA 91006
Phone (626) 241-2909

1130 S Diamond Bar Blvd
Diamond Bar, CA 91765
Phone (909) 860-1661

1241 Grand Ave
Ste C
Diamond Bar, CA 91765
Phone (909) 860-1661

120 W Olive Ave
Monrovia, CA 91016
Phone (626) 674-1464

Organizations & group practices 1

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1104934538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652203",
            "telephone_number": "909-860-1661",
            "fax_number": "909-860-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S. GRAND AVE",
            "address_2": "SUITE C",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-860-1661",
            "fax_number": "909-860-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG MORITA",
        "first_name": "JONIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 28353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.