NPIMap

Individual provider Active NPI

Nathan S Chung, MD

  • Surgery Physician
  • Apple Valley, CA
National Provider Identifier
1144249152
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A60371 Issued in CA
Practice address
19341 Bear Valley Road
Suite 205
Apple Valley, CA 92308
Phone
(760) 247-0333
Fax
(760) 247-8492
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A60371 CA Primary

Addresses

Primary practice location

19341 Bear Valley Road
Suite 205
Apple Valley, CA 92308

Mailing address

19341 Bear Valley Road
Suite 205
Apple Valley, CA 92308
Phone (760) 247-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000520 CA Practitioner - General Surgery 4587689062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medico Chirurgical College of Philadelphia, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15000 Kensington Park Dr
Suite 270
Tustin, CA 92782-1835
Phone (714) 788-3033

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Onoria Health Care Provider Inc Home Health and Ho Home health agency, Montclair, CA, CCN 059482
  • Hygieia Home Health Inc Home health agency, Lakewood, CA, CCN 557541
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660
  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1839
Removal of skin lesions21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60371CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whan Sil Kim, M.D., Inc. Past Accepting new patients
Shalom Medical Group, Inc. Surgery PastSince Apr 30, 2003 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nathanchung@chai.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1144249152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY ROAD",
            "address_2": "SUITE 205",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92308",
            "telephone_number": "760-247-0333",
            "fax_number": "760-247-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY ROAD",
            "address_2": "SUITE 205",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92308",
            "telephone_number": "760-247-0333",
            "fax_number": "760-247-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "NATHAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A60371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.