Individual provider Active NPI

Jason Yi Chen Hung, DPT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1396255089
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293645 Issued in CA
Practice address
808 Adams Ave
Huntington Beach, CA 92648-3214
Phone
(714) 749-0192
NPI assigned
Oct 6, 2017
Last updated
Oct 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT293645 CA Primary

Addresses

Primary practice location

808 Adams Ave
Huntington Beach, CA 92648-3214

Mailing address

2251 Yucca Ave
Fullerton, CA 92835-3319
Phone (714) 749-0192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108002123 CA Practitioner - Physical Therapist in Private Practice 3375809320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis and Watson Physical Therapy Inc.Group PAC ID 7810881554, 4 clinicians

Practice addresses (Care Compare)

1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Phone (714) 835-6638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davis and Watson Physical Therapy Inc. Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients

Locations

1910 Old Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-6638

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": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1396255089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 YUCCA AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353319",
            "telephone_number": "714-749-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483214",
            "telephone_number": "714-749-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNG",
        "first_name": "JASON",
        "middle_name": "YI CHEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.