Individual provider Active NPI

Alan Pania Ung, MD

  • Family Medicine Physician
  • Chino, CA
National Provider Identifier
1467036012
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A188937 Issued in CA
Practice address
13193 Central Ave Ste 100
Chino, CA 91710-4179
Phone
(909) 464-9675
NPI assigned
May 10, 2021
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A188937 CA Primary

Addresses

Primary practice location

13193 Central Ave Ste 100
Chino, CA 91710-4179

Mailing address

13193 Central Ave Ste 100
Chino, CA 91710-4179
Phone (909) 464-9675

Other practice location 1

9333 Genesee Ave Ste 200
San Diego, CA 92121-2113
Phone (858) 657-7000

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
I20241008001991 CA Practitioner - Family Practice 5193256642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Health Service AllianceGroup PAC ID 4587642467, 14 clinicians

Practice addresses (Care Compare)

220 S Indian Hill Blvd
Suite F
Claremont, CA 91711-4929
Phone 9092815800131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A188937CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Alliance Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Health Service Alliance Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Foothills Psychological Services, Inc. Past Accepting new patients

Locations

13193 Central Ave
Ste 100
Chino, CA 91710
Phone (909) 464-9675

220 S Indian Hill Blvd
Ste F
Claremont, CA 91711
Phone (909) 281-5800

4651 Holt Blvd
Ste G
Montclair, CA 91763
Phone (909) 326-0414

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

10837 Laurel St
Ste 204
Rancho Cucamonga, CA 91730
Phone (310) 246-0702

9089 Base Line Rd
Ste 200
Rch Cucamonga, CA 91730
Phone (909) 480-3567

600 N Euclid Ave
Ste 202
Upland, CA 91786
Phone (840) 237-3344

600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513

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.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1467036012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE STE 100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-464-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE STE 100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-464-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9333 Genesee Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921212113",
            "country_code": "US",
            "telephone_number": "858-657-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNG",
        "first_name": "ALAN",
        "middle_name": "PANIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A188937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.