Active NPI
Namju Seong, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95002744
- Practice address
- 701 S Parker St Ste 2800
Orange, CA 92868-4720 - Phone
- (925) 282-1778
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95002744 | CA | Primary |
Addresses
Primary practice location
701 S Parker St Ste 2800
Orange, CA 92868-4720
Mailing address
701 S Parker St Ste 2800
Orange, CA 92868-4720
Other practice location 1
7212 Orangethorpe Ave Ste 9A
Buena Park, CA 90621-4668
Phone (714) 503-6550
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 S Parker St
Suite 2800
Orange, CA 92868-4720
Phone (925) 282-1778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002744 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Current | Accepting new patients |
Locations
4040 Barranca Pkwy
Ste 260
Irvine, CA 92604
701 S Parker St
Ste 2800
Orange, CA 92868
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
1450 10th St
Ste 404
Santa Monica, CA 90401
Phone (310) 451-8144
Interoperability endpoints
- lifestancehealth.namjuseong@148377.advancedmd-direct.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1174907158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S PARKER ST STE 2800",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S PARKER ST STE 2800",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684720",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "7212 Orangethorpe Ave Ste 9A",
"address_purpose": "LOCATION",
"city": "Buena Park",
"state": "CA",
"postal_code": "906214668",
"country_code": "US",
"telephone_number": "714-503-6550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEONG",
"first_name": "NAMJU",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95002744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.