Dongjin Sung, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A155831 Issued in CA

Practice address

1740 W Gardena Blvd
Gardena, CA 90247-4764

Phone

(424) 551-3110

Fax

(844) 272-8062

NPI assigned

Aug 2, 2010

Last updated

Mar 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Luke Sung Other name

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

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St. Luke Medical Arts IncGroup PAC ID 1658604574, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• St. Luke Medical Arts Inc

  dba Dongjin Sung, M.D. Internal Medicine

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1982161113
  Medicare reassignment Care Compare group Authorized official
• Lifetree Internal Medicine

  • Internal Medicine Physician
  • Aldie, VA
  • NPI 1326555087
  NPD (past) Authorized official
• Advanced Premier Physicians Ipa

  dba Sarang Rehabilitation Clinic

  • Multi-Specialty Clinic/Center
  • Buena Park, CA
  • NPI 1689130759
  NPD (past)
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• Orange County Global Medical Center, Inc

  dba Orange County Global Medical Center

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)
• University of California Irvine

  dba UCI Health - Placentia Linda

  • General Acute Care Hospital
  • Placentia, CA
  • NPI 1700817756
  NPD (past)
• Shore Hospitalists Associates P.a.

  • Internal Medicine Physician
  • Easton, MD
  • NPI 1508983362
  NPD (past)

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

• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1114231198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474764",
            "telephone_number": "716-868-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474764",
            "telephone_number": "424-551-3110",
            "fax_number": "844-272-8062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11116 Medical Campus Rd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426710",
            "country_code": "US",
            "telephone_number": "716-868-9146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16020 S WESTERN AVE",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473743",
            "country_code": "US",
            "telephone_number": "424-551-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16020 S WESTERN AVE",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473743",
            "country_code": "US",
            "telephone_number": "424-551-3110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNG",
        "first_name": "DONGJIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2012013838",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D79453",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101261199",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A155831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKE",
            "last_name": "SUNG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shirley Summers, LCSW
• Simone Summers
• Naajidah Summerville
• Jeffrey Sun
• Sung E Shim M D Inc
• Eunjae Sung, CRNP
• Glenna Sunga
• Sunshine Community Resource Organization Center
• Superior Care Medical Cener
• Natalie Renea Sutterland

• Internal Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.
• 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.