Active NPI
Jim Y. Chung, D.C., L.AC.
- Sports Physician Chiropractor
- Irvine, CA
National Provider Identifier
1487611067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC29229
- Practice address
- 14785 Jeffrey Rd
Suite 102
Irvine, CA 92618-0408 - Phone
- (949) 857-2388
- Fax
- (949) 857-0198
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC29229 | CA | Primary |
| Sports Physician Chiropractor | 111NS0005X | B02002 | NV | |
| Acupuncturist | 171100000X | AC11395 | CA |
Addresses
Primary practice location
14785 Jeffrey Rd
Suite 102
Irvine, CA 92618-0408
Mailing address
14785 Jeffrey Rd
Suite 102
Irvine, CA 92618-0408
Phone (949) 857-2388
Other names 1
- Dr. Jim Yung-Chun Chung
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060620000129 | CA | Practitioner - Chiropractic | 5890707558 | Practice locations: Irvine, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14785 Jeffrey Rd
Irvine, CA 92618-0409
Phone (949) 857-2388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29229 | CA | MD | Sports Physician Chiropractor |
| B02002 | NV | MD | Sports Physician Chiropractor |
| AC11395 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lin Chiropractic Professionals, Inc. | Sports Physician | Past | Accepting new patients |
| Chang Chiropractic Corp | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Irvine, CA
- NPI 1588737951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1487611067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14785 JEFFREY RD",
"address_2": "SUITE 102",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180408",
"telephone_number": "949-857-2388",
"fax_number": "949-857-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14785 JEFFREY RD",
"address_2": "SUITE 102",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180408",
"telephone_number": "949-857-2388",
"fax_number": "949-857-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JIM",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "D.C., L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC29229",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NV",
"license": "B02002",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "CHUNG",
"middle_name": "YUNG-CHUN",
"prefix": "DR.",
"credential": "D.C., L.AC.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.