Individual provider Active NPI

Lily S. Chung, MD

  • Psychiatry Physician
  • Murrieta, CA
National Provider Identifier
1508963273
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A78636 Issued in CA
Practice address
28078 Baxter Road
Suite 228
Murrieta, CA 92563-1403
Phone
(909) 521-8698
Fax
(909) 266-0055
NPI assigned
Sep 17, 2006
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301111288 MI
Psychiatry Physician 2084P0800X A78636 CA Primary

Addresses

Primary practice location

28078 Baxter Road
Suite 228
Murrieta, CA 92563-1403

Mailing address

PO Box 11509
San Bernardino, CA 92423-1509
Phone (909) 521-8698

Other practice location 1

1200 N West Ave
Jackson, MI 49202-2179
Phone (517) 789-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200507000249 MI Practitioner - Psychiatry 7618943093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson-Hillsdale Community Mental Health BoardGroup PAC ID 6406808062, 27 clinicians

Practice addresses (Care Compare)

1200 N W Ave
Jackson, MI 49202-2179
Phone (517) 789-1200

1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78636CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince May 4, 2023 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince May 4, 2023 Accepting new patients
Tuscola County Community Mental Health Services Board CurrentSince Feb 1, 2022 Accepting new patients

Locations

1332 Prospect Ave
Caro, MI 48723
Phone (989) 673-6191

323 N State St
Caro, MI 48723
Phone (989) 673-6191

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Interoperability endpoints

  • Direct secure messaging: lchung67561@direct.llu.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1508963273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11509",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924231509",
            "telephone_number": "909-521-8698",
            "fax_number": "909-266-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER ROAD",
            "address_2": "SUITE 228",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631403",
            "telephone_number": "909-521-8698",
            "fax_number": "909-266-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N West Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492022179",
            "country_code": "US",
            "telephone_number": "517-789-1209",
            "fax_number": "517-796-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "LILY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301111288",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A78636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.