Yun Suk Chong, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A73098 Issued in CA

Practice address

1110 E Chapman Ave
Suite 203
Orange, CA 92866-2139

Phone

(714) 453-0688

Fax

(714) 453-0689

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094
  Medicare reassignment NPD
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1720164882
  Medicare reassignment NPD
• Orange County Behavioral Sciences Inc.

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1710179049
  NPD (past) Authorized official
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • El Monte, CA
  • NPI 1972912236
  NPD
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Costa Mesa, CA
  • NPI 1548512635
  NPD
• Socal Behavioral Health Professional Corporation

  • Psychiatry Physician
  • Santa Ana, CA
  • NPI 1528068707
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1376586933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE",
            "address_2": "SUITE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662139",
            "telephone_number": "714-453-0688",
            "fax_number": "714-453-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE",
            "address_2": "SUITE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662139",
            "telephone_number": "714-453-0688",
            "fax_number": "714-453-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "YUN",
        "middle_name": "SUK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A73098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A730980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BH PIN #",
            "identifier": "7734898",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MGD HEALTH NETWORK PIN",
            "identifier": "393879",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yung-in Choi, MD
• Jesslyn Chokry, BCBA
• Mi Yun Chong Greenberg, LMFT
• Chyanne Chong
• Sangwoo Chong
• Anna Choo, BSN, RN
• Susan Sunggil Choo, M.D.
• Brad Barsam Choobin
• Stephanie S. Chou-Narewski, MD
• Adriana Beatrice Chou

• Psychiatry Physician in Orange, CA
• Providers in Orange, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.