Individual provider Active NPI

Claire Ju-Eun Chong

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1194425165
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
62450 Issued in CA
Practice address
4425 S Central Ave
Los Angeles, CA 90011-3629
Phone
(323) 908-3200
NPI assigned
Mar 7, 2023
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 62450 CA Primary

Addresses

Primary practice location

4425 S Central Ave
Los Angeles, CA 90011-3629

Mailing address

4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4200

Other practice location 1

1028 E Vernon Ave
Los Angeles, CA 90011-3717
Phone (323) 908-4200

Other practice location 2

727 S Ardmore Ave Apt 704
Los Angeles, CA 90005-4368
Phone (714) 616-1700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240825000160 CA Practitioner - Physician Assistant 3375981095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62450CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Family Health Center CurrentSince Jun 10, 2024 Accepting new patients
South Central Family Health Center CurrentSince Jun 10, 2024 Accepting new patients

Locations

3410 Hooper Ave
Los Angeles, CA 90011

4425 S Central Ave
Los Angeles, CA 90011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: claire.chong.p1@direct.scfhc.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.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1194425165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113629",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113629",
            "telephone_number": "323-908-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 E Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900113717",
            "country_code": "US",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 S Ardmore Ave Apt 704",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900054368",
            "country_code": "US",
            "telephone_number": "714-616-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHONG",
        "first_name": "CLAIRE",
        "middle_name": "JU-EUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.