Individual provider Active NPI

Angela Chung, MD

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1326569419
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A164413 Issued in CA
Practice address
5581 Alton Pkwy
Irvine, CA 92618-4056
Phone
(949) 453-4308
Fax
(949) 453-4328
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A164413 CA Primary

Addresses

Primary practice location

5581 Alton Pkwy
Irvine, CA 92618-4056

Mailing address

5581 Alton Pkwy
Irvine, CA 92618-4056
Phone (949) 453-4308

Other practice location 1

1600 E Citrus Ave Ste A
Redlands, CA 92374-4802
Phone (909) 794-3682

Other practice location 2

400 N Pepper Ave
Arrowhead Regional Medical Center
Colton, CA 92324-1801
Phone (855) 422-8029

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20191025002378 CA Practitioner - Family Practice 1951633874 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000

2055 Kellogg Ave
Corona, CA 92879-3111
Phone (866) 984-7483

Hospital & facility affiliations

  • Kaiser Foundation Hospital, Riverside Hospital, Riverside, CA, CCN 050686

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164413CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 20, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 20, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Centers for Family Medicine GP Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Dec 30, 2020 Accepting new patients
Riverside Medical Clinic, Inc Family Medicine CurrentSince Sep 24, 2019 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Dec 30, 2020 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

5581 Alton Pkwy
Irvine, CA 92618
Phone (949) 222-9158

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

1600 E Citrus Ave
Ste A
Redlands, CA 92374
Phone (909) 294-3682

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1326569419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 ALTON PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184056",
            "telephone_number": "949-453-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5581 ALTON PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184056",
            "telephone_number": "949-453-4308",
            "fax_number": "949-453-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Citrus Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923744802",
            "country_code": "US",
            "telephone_number": "909-794-3682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Pepper Ave",
            "address_2": "Arrowhead Regional Medical Center",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241801",
            "country_code": "US",
            "telephone_number": "855-422-8029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-12-30",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A164413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.