Individual provider Active NPI

Jung H. Sung, PA

  • Surgical Physician Assistant
  • Laguna Beach, CA
National Provider Identifier
1205865573
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA20095 Issued in CA
Practice address
1968 S Coast Hwy Unit 1452
Laguna Beach, CA 92651-3681
Phone
(443) 794-6680
NPI assigned
Jun 30, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA20095 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1968 S Coast Hwy Unit 1452
Laguna Beach, CA 92651-3681

Mailing address

1968 S Coast Hwy Unit 1452
Laguna Beach, CA 92651-3681
Phone (443) 794-6680

Other practice location 1

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA20095CAMDSurgical Physician Assistant
20095CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl L. Effron, M.D., Inc. CurrentSince Aug 26, 2017 Accepting new patients
J Robert West, M.D., Inc PastSince Jun 1, 2022 Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 210
Anaheim, CA 92807
Phone (714) 974-3272

17822 Beach Blvd
Ste 452
Huntington Beach, CA 92647
Phone (714) 848-5851

Organizations & group practices 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1205865573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY UNIT 1452",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "443-794-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY UNIT 1452",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "443-794-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537474",
            "country_code": "US",
            "telephone_number": "540-776-4793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNG",
        "first_name": "JUNG",
        "middle_name": "H.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA20095",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.