Carol Jung, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

13522 Newport Ave
Tustin, CA 92780-3707

Phone

(714) 987-1121

NPI assigned

Nov 22, 2022

Last updated

Jul 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orca Rehab IncGroup PAC ID 6901281484, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Orca Rehab Inc

  dba Orca Rehab

  • Physical Medicine & Rehabilitation Physician
  • Tustin, CA
  • NPI 1952046963
  Medicare reassignment Care Compare group
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1215060199
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394
  NPD
• Amirpasha Ehsan MD, Inc

  • Physical Medicine & Rehabilitation Physician
  • Irvine, CA
  • NPI 1164813788
  NPD (past)
• Chest and Critical Care Consultants

  dba Southern California Sleep Disorders Specialists

  • Sleep Disorder Diagnostic Clinic/Center
  • Tustin, CA
  • NPI 1659450054
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1306555941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 CAMPUS DRIVE SUITE A100",
            "address_2": "#5532",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92616",
            "telephone_number": "714-987-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13522 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803707",
            "telephone_number": "714-987-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3816 Woodruff Ave Ste 412",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908082146",
            "country_code": "US",
            "telephone_number": "562-377-1111",
            "fax_number": "562-394-9277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7643 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Cudahy",
            "state": "CA",
            "postal_code": "902015019",
            "country_code": "US",
            "telephone_number": "323-771-1713",
            "fax_number": "323-562-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "CAROL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ju Y Lee Dental Corporation
• Erika Juarez-Cruz
• Judy Benvenuto Marriage and Family Therapy Inc (The Well Therapy Group)
• Andrew Jun
• Ashley Jung, DPT
• Kevin C Jung, D.C.
• K Derifield LMFT Inc
• K Derifield LMFT Inc
• K&B Mag Corp. (Queens Home 3)
• Kabacare Tustin Ca PC

• Medical Physician Assistant in Tustin, CA
• Providers in Tustin, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.