Individual provider Active NPI

Michael Chunghan Ling, APRN, FNP-C

  • Family Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1255990461
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008846 Issued in CA
Practice address
21750 Center Court Dr. S
Suite 650
Cerritos, CA 90703
Phone
(323) 628-8671
NPI assigned
Jun 11, 2019
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008846 CA Primary

Addresses

Primary practice location

21750 Center Court Dr. S
Suite 650
Cerritos, CA 90703

Mailing address

17502 Caliente Ave
Cerritos, CA 90703-9013
Phone (858) 231-6794

Other practice location 1

438 E Katella Ave Ste 234
Orange, CA 92867-4859
Phone (323) 709-6979

Other practice location 2

1925 Royal Ave
FL 2
Simi Valley, CA 93065-4619
Phone (805) 309-0816

Other practice location 3

12370 Hesperia Rd Ste 6
Victorville, CA 92395-4787
Phone (760) 245-4747

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
I20220104002000 CA Practitioner - Nurse Practitioner 5698166502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008846CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vvipa Medical Group Inc CurrentSince Aug 1, 2020 Accepting new patients
Atc Health Services Inc. CurrentSince Feb 1, 2020 Accepting new patients
High Desert Medical Group CurrentSince Sep 4, 2021 Accepting new patients
Infinity Home Care LLC Past Accepting new patients
Together Hospice Care Inc PastSince Aug 2, 2020 Accepting new patients

Locations

1925 Royal Ave
Fl 2
Simi Valley, CA 93065
Phone (805) 309-0816

12370 Hesperia Rd
Ste 6
Victorville, CA 92395
Phone (760) 245-4747

12370 Hesperia Rd
Ste 9
Victorville, CA 92395
Phone (760) 261-5227

12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mling@landmarkhealth-direct.org

Organizations & group practices 5

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1255990461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17502 CALIENTE AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039013",
            "telephone_number": "858-231-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 CENTER COURT DR. S",
            "address_2": "SUITE 650",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "323-628-8671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 E Katella Ave Ste 234",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928674859",
            "country_code": "US",
            "telephone_number": "323-709-6979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 ROYAL AVE",
            "address_2": "FL 2",
            "address_purpose": "LOCATION",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654619",
            "country_code": "US",
            "telephone_number": "805-309-0816",
            "fax_number": "818-794-6036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12370 Hesperia Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923954787",
            "country_code": "US",
            "telephone_number": "760-245-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LING",
        "first_name": "MICHAEL",
        "middle_name": "CHUNGHAN",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.