Jenifer Chungafung, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G060485 Issued in CA

Practice address

1850 S Azusa Ave
#60
Hacienda HTS, CA 91745-6813

Phone

(626) 913-2822

Fax

(626) 913-0661

NPI assigned

Feb 8, 2007

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (6 of 7)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jenifer.chungafung.p1@direct.lakeside.nextgenshare.com

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.

• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642

  CA, Family Medicine

  Medicare reassignment NPD
• Pih Health Physicians

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1609233899

  CA, Family Medicine

  Medicare reassignment NPD
• Bright Health Physicians of Pih

  • Obstetrics & Gynecology Physician
  • Whittier, CA
  • NPI 1134373871
  NPD
• Pih Health Physicians

  • Anesthesiology Physician
  • Downey, CA
  • NPI 1447931506
  NPD
• Healthylife MG Corp

  • Family Medicine Physician
  • La Canada, CA
  • NPI 1184489684

  Family Medicine

  NPD (past)
• Pediatric Affiliates Medical Group Inc

  • Pediatrics Physician
  • West Hills, CA
  • NPI 1053410506
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376684985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "#60",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-913-2822",
            "fax_number": "626-913-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "#60",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-913-2822",
            "fax_number": "626-913-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNGAFUNG",
        "first_name": "JENIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G060485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Reproductive Health Center
• Barbara Barlow, NP
• Carmen Valdez D.D.S Inc
• Simon K Chan
• Fang-Yu Chang, L.AC.
• Gloria Estrada, O.D
• Li Han, LAC
• Theresa Anita Handojo, PHARM.D.
• Jen-Kway Shen, M.D., Inc.
• Jimmy Wu Chiropractic Corp.

• All providers in Hacienda HTS, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.