Individual provider Active NPI

Jong Moon Chung, L.AC, D.C.

  • Acupuncturist
  • Santa Clarita, CA
National Provider Identifier
1467677765
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
L.AC5772 Issued in CA
Practice address
25078 Peachland Ave Ste E
Santa Clarita, CA 91321-2551
Phone
(661) 259-0202
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X L.AC5772 CA Primary
Chiropractor 111N00000X D.C 29799 CA

Addresses

Primary practice location

25078 Peachland Ave Ste E
Santa Clarita, CA 91321-2551

Mailing address

27306 Sand Canyon Rd
Santa Clarita, CA 91387-3631
Phone (213) 760-1415

Other names 1

  • Dr. Jong Moon Chung Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25078 Peachland Ave
Suite E
Santa Clarita, CA 91321-2533

25078 Peachland Ave
Suite E
Santa Clarita, CA 91321-2551
Phone (213) 760-1415

27306 Sand Canyon Rd
Santa Clarita, CA 91387-3631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
D.C 29799CAMDChiropractor
L.AC5772CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1467677765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27306 SAND CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873631",
            "telephone_number": "213-760-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE STE E",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212551",
            "telephone_number": "661-259-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JONG",
        "middle_name": "MOON",
        "name_prefix": "Dr.",
        "credential": "L.AC, D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "L.AC5772",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "D.C 29799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONG",
            "last_name": "CHUNG",
            "middle_name": "MOON",
            "prefix": "DR.",
            "credential": "L.AC, D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.