Joyce H. Chong M.D. Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

C50783 Issued in CA

Legal business name

JOYCE H. CHONG M.D. INC.

Practice address

125 N. Euclid St
Fullerton, CA 92832-1618

Phone

(714) 773-1212

Fax

(714) 773-9900

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joyce H Chong, M.D.NPI 1821024282

Title

C.E.O

Phone

(714) 773-1212

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joyce Haekyoung Chong, MD

  • Pediatrics Physician
  • Fullerton, CA
  • NPI 1821024282
  NPD (past) Authorized official

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1124258587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N. EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321618",
            "telephone_number": "714-773-1212",
            "fax_number": "714-773-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N. EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321618",
            "telephone_number": "714-773-1212",
            "fax_number": "714-773-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCE H. CHONG M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "714-773-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "C50783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C507830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G13192",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11672399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.