Individual provider Active NPI

Christopher Junpyo Hong, D. O.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1386175941
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A18408 Issued in CA
Practice address
2250 Alcazar St # 2200
Los Angeles, CA 90089-2498
Phone
(323) 442-4025
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 20A18408 CA Primary

Addresses

Primary practice location

2250 Alcazar St # 2200
Los Angeles, CA 90089-2498

Mailing address

2250 Alcazar St # 2200
Los Angeles, CA 90089-1011
Phone (323) 442-4025

Other practice location 1

1701 W Charleston Blvd Ste 290
Las Vegas, NV 89102-2302
Phone (702) 671-5127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20170802000634 NV Order and Referring Only - PsychiatryPractitioner - Psychiatry 9032480553

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18408CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chong105488@direct.llu.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1386175941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 ALCAZAR ST # 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900891011",
            "telephone_number": "323-442-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 ALCAZAR ST # 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900892498",
            "telephone_number": "323-442-4025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W Charleston Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022302",
            "country_code": "US",
            "telephone_number": "702-671-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "JUNPYO",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A18408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.