Individual provider Active NPI

Sophia Chun, MD

  • Internal Medicine Physician
  • Seal Beach, CA
National Provider Identifier
1104939990
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G80141 Issued in CA
Practice address
1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone
(562) 493-9581
Fax
(562) 795-6397
NPI assigned
Aug 16, 2006
Last updated
Nov 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G80141 CA Primary

Addresses

Primary practice location

1661 Golden Rain Rd
Seal Beach, CA 90740-4907

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208000352 CA Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 3971783929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centers for Family Medicine GPGroup PAC ID 9931143799, 87 clinicians
Stallant Medical Group IncGroup PAC ID 6406283845, 17 clinicians

Practice addresses (Care Compare)

1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone (562) 493-9581

515 E Washington Blvd
Crescent City, CA 95531-8342
Phone (707) 460-1802

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G80141CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stallant Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Centers for Family Medicine GP Internal Medicine CurrentSince Sep 8, 2020 Accepting new patients
Stallant Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

515 E Washington Blvd
Crescent City, CA 95531
Phone (707) 460-1802

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

1661 Golden Rain Rd
Seal Beach, CA 90740
Phone (562) 493-9581

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: schun195409@westdirect.optum.com
  • Direct secure messaging: sophia.chun.p1@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: sophia.chun.p33@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 8

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 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1104939990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 GOLDEN RAIN RD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907404907",
            "telephone_number": "562-493-9581",
            "fax_number": "562-795-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.