Active NPI
Roy Chong
- Nurse Practitioner
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95030711
- Practice address
- 511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229 - Phone
- (714) 780-0750
- NPI assigned
- Apr 12, 2023
- Last updated
- Oct 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95030711 | CA | Primary |
Addresses
Primary practice location
511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229
Mailing address
8612 Whittle CT
Downey, CA 90240-3979
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
511 N Brookhurst St
Suite 200
Anaheim, CA 92801-5229
Phone (714) 780-0750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95030711 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Current | Accepting new patients | |
| College Community Services | Current | Accepting new patients | |
| College Community Services | Current | Accepting new patients |
Locations
511 N Brookhurst St
Ste 200
Anaheim, CA 92801
Phone (714) 780-0750
1855 W Katella Ave
Ste 150
Orange, CA 92867
Phone (714) 399-3480
8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272
Organizations & group practices 3
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.
-
dba AMHS Clarvida Anaheim Adult Behavioral Health Outpatient Services
- Community/Behavioral Health Agency
- Anaheim, CA
- NPI 1043354624
-
dba AMHS Clarvida Camino Nuevo
- Community/Behavioral Health Agency
- Santa Ana, CA
- NPI 1235274804
-
dba Clarvida
- Community/Behavioral Health Agency
- Tehachapi, CA
- NPI 1831870500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1386330389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8612 WHITTLE CT",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902403979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N BROOKHURST ST STE 200",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015229",
"telephone_number": "714-780-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "ROY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-12",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95030711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.