Individual provider Active NPI

Lawrence P Chong, M.D.

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1265594048
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G48435 Issued in CA
Practice address
7677 Center Ave
Suite 400
Huntington Beach, CA 92647-3074
Phone
(714) 901-7777
Fax
(714) 901-7770
NPI assigned
Dec 15, 2006
Last updated
Mar 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G48435 CA Primary

Addresses

Primary practice location

7677 Center Ave
Suite 400
Huntington Beach, CA 92647-3074

Mailing address

7677 Center Ave
Suite 400
Huntington Beach, CA 92647-3074
Phone (714) 901-7777

Other identifiers 2

IdentifierTypeStateIssuer
00G484350OtherCABLUE SHIELD
00G484350MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081128000077 CA Practitioner - Ophthalmology 4385704931 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Benjamin, M.D. a Prof. Med. Corp Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients

Locations

9201 W Sunset Blvd
Ste 709
West Hollywood, CA 90069
Phone (310) 275-5533

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1265594048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473074",
            "telephone_number": "714-901-7777",
            "fax_number": "714-901-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473074",
            "telephone_number": "714-901-7777",
            "fax_number": "714-901-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "LAWRENCE",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G48435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G484350",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G484350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.