Jerry Chuang, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A105856 Issued in CA

Practice address

113 Waterworks Way Ste 225
Irvine, CA 92618-3175

Phone

(714) 525-5588

Fax

(714) 525-5193

NPI assigned

Jun 6, 2007

Last updated

Mar 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Tufts University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Pain ConsultantsGroup PAC ID 5496823155, 4 clinicians

Scosi Orthopedics IncGroup PAC ID 5799931218, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJDIAA
• FHIR API: https://fhir4.healow.com/fhir/r4/GJDIAA/Endpoint/GJDIAA

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.

• Premier Pain Consultants

  • Pain Clinic/Center
  • Fullerton, CA
  • NPI 1053575837
  Medicare reassignment Care Compare group NPD
• Scosi Orthopedics Inc

  • Orthopaedic Surgery Physician
  • City of Industry, CA
  • NPI 1104182104
  Medicare reassignment Care Compare group NPD
• Spine and Pain Institute of Orange County, Inc.

  • Orthopaedic Surgery Physician
  • Irvine, CA
  • NPI 1609145127

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• St Jude Hospital Inc

  dba Providence St. Jude Medical Center

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1225231491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21088 BLOSSOM WAY",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653735",
            "telephone_number": "412-657-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY STE 225",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183175",
            "telephone_number": "714-525-5588",
            "fax_number": "714-525-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MT183129",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "MD2009-0677",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD 60105559",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A105856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Aivy Le Chu
• Pen-Mao Chu, DDS
• Yu Hsiang Chu, LAC
• Anthony Ritchie Chuang, M.D.
• Brandon Chuang, OD
• Katherine Chuang, MD
• Tiffany Chih-Wei Chuang
• Carolyn Thompson Chudy, DO
• David Jone-Wai Chun, PT, DPT, OCS, CSCS
• G. Michael Gerard Chun, M.D.

• Physical Medicine & Rehabilitation Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.

Verify at the official NPI Registry.