Active NPI
Thomas Sin Young Chung, FNP-C
- Nurse Practitioner
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95004655
- Practice address
- 255 N El Cielo Rd Ste C-326
Palm Springs, CA 92262-6992 - Phone
- (760) 969-6535
- NPI assigned
- Jun 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95004655 | CA | Primary |
Addresses
Primary practice location
255 N El Cielo Rd Ste C-326
Palm Springs, CA 92262-6992
Mailing address
255 N El Cielo Rd Ste C-326
Palm Springs, CA 92262-6992
Phone (760) 969-6535
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 82.33
- Improvement activities
- 40
- Cost
- 79.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Medical Group, Inc. | Current | Accepting new patients | |
| Inland Empire Cardiovascular Consultants, Inc. | Current | Accepting new patients | |
| Desert Nephrology | Past | Accepting new patients |
Locations
255 N El Cielo Rd
Ste C326
Palm Springs, CA 92262
Phone (760) 969-6535
275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814
6950 Brockton Ave
Ste 1
Riverside, CA 92506
Phone (909) 883-8938
399 E Highland Ave
Ste 307
Sn Bernrdno, CA 92404
Phone (909) 881-7400
Interoperability endpoints
- thomas.chung.p2@direct.mydohc.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Desert Oasis Healthcare Medical Group
- Family Medicine Physician
- Palm Springs, CA
- NPI 1114918612
-
dba Pulse Cardiology
- Cardiovascular Disease Physician
- San Bernardino, CA
- NPI 1083002166
-
- Specialist
- Palm Springs, CA
- NPI 1215026653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1114378171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 N EL CIELO RD STE C-326",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626992",
"telephone_number": "760-969-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N EL CIELO RD STE C-326",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626992",
"telephone_number": "760-969-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "THOMAS",
"middle_name": "SIN YOUNG",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-30",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95004655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.
- 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.