Individual provider Active NPI

Danny K Chung, M.D.

  • Surgery Physician
  • Monterey Park, CA
National Provider Identifier
1427089002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C 38984 Issued in CA
Practice address
2420 Abadejo, la Verne,Ca 91750
201 W Garvey Ave., # 108
Monterey Park, CA 91754-7418
Phone
(626) 573-2188
Fax
(626) 573-1345
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C 38984 CA Primary

Addresses

Primary practice location

2420 Abadejo, la Verne,Ca 91750
201 W Garvey Ave., # 108
Monterey Park, CA 91754-7418

Mailing address

2420 Abadejo, la Verne,Ca 91750
201 W Garvey Ave., # 108
Monterey Park, CA 91754-7418
Phone (626) 573-2188

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401001624 CA Practitioner - General Surgery 5092707661 Practice locations: Montclair, CA; Monterey Park, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38984CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
C 38984CAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427089002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 ABADEJO, LA VERNE,CA 91750",
            "address_2": "201 W GARVEY AVE., # 108",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547418",
            "telephone_number": "626-573-2188",
            "fax_number": "626-573-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 ABADEJO, LA VERNE,CA 91750",
            "address_2": "201 W GARVEY AVE., # 108",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547418",
            "telephone_number": "626-573-2188",
            "fax_number": "626-573-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DANNY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C 38984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.