Active NPI
Jagdeep Singh Tung MD Inc
- General Practice Physician
- Manhattan Beach, CA
National Provider Identifier
1295986859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A92233
- Legal business name
- JAGDEEP SINGH TUNG MD INC
- Practice address
- 1142 21St St
Manhattan Beach, CA 90266-2924 - Phone
- (714) 336-4225
- Fax
- (949) 502-8887
- NPI assigned
- Oct 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jagdeep Singh Tung, MD
- Title
- Doctor/Owner
- Phone
- (714) 336-4225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A92233 | CA | |
| Internal Medicine Physician | 207R00000X | A92233 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | A92233 | CA | |
| General Practice Physician | 208D00000X | A92233 | CO | Primary |
Addresses
Primary practice location
1142 21St St
Manhattan Beach, CA 90266-2924
Mailing address
1142 21St St
Manhattan Beach, CA 90266-2924
Phone (714) 336-4225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Manhattan Beach, CA
- NPI 1013973783
-
- Acute Care Nurse Practitioner
- Valencia, CA
- NPI 1578820197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473206400000",
"number": "1295986859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 21ST ST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662924",
"telephone_number": "714-336-4225",
"fax_number": "949-502-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 21ST ST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662924",
"telephone_number": "714-336-4225",
"fax_number": "949-502-8887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAGDEEP SINGH TUNG MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-01",
"last_updated": "2016-09-07",
"status": "A",
"authorized_official_last_name": "TUNG",
"authorized_official_first_name": "JAGDEEP",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "714-336-4225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A92233",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A92233",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A92233",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CO",
"license": "A92233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.