Individual provider Active NPI

Richard Sung Ahn, M.D.

  • Orthopaedic Hand Surgery Physician
  • Lakewood, CA
National Provider Identifier
1568809226
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A162729 Issued in CA
Practice address
5750 Downey Ave Ste 308
Lakewood, CA 90712-1482
Phone
(562) 633-3787
Fax
(562) 633-1977
NPI assigned
Jun 3, 2013
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A162729 CA
Orthopaedic Hand Surgery Physician 207XS0106X A162729 CA Primary

Addresses

Primary practice location

5750 Downey Ave Ste 308
Lakewood, CA 90712-1482

Mailing address

PO Box 15848
Newport Beach, CA 92659-5848
Phone (657) 241-3600

Other practice location 1

3828 Schaufele Ave Ste 320
Long Beach, CA 90808-1793
Phone (562) 348-4588

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
I20190802000801 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 7911260765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
State University of New York at Buffalo School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commons Clinic Medical Group, PCGroup PAC ID 6204221096, 21 clinicians

Practice addresses (Care Compare)

13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6393
Phone (310) 437-7925

3828 Schaufele Ave
Suite 320
Long Beach, CA 90808-1793
Phone (562) 348-4588

5750 Downey Ave
Suite 308
Lakewood, CA 90712-1482
Phone (562) 633-3787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162729CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach - Lakewood Orthopedic Institute Orthopaedic Surgery CurrentSince Sep 1, 2019 Accepting new patients
Long Beach - Lakewood Orthopedic Institute Orthopaedic Surgery Current Accepting new patients
Commons Clinic Medical Group, PC Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
University of California Irvine Past Accepting new patients
Commons Clinic Medical Network, PC Past Accepting new patients

Locations

5750 Downey Ave
Ste 308
Lakewood, CA 90712
Phone (562) 633-3757

3828 Schaufele Ave
Ste 320
Long Beach, CA 90808
Phone (562) 348-4588

2080 Century Park E
Ste 1204
Los Angeles, CA 90067
Phone (310) 430-1310

13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rahn539625@direct.memorialcare.org

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 3

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1568809226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15848",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595848",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE STE 308",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121482",
            "telephone_number": "562-633-3787",
            "fax_number": "562-633-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3828 Schaufele Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081793",
            "country_code": "US",
            "telephone_number": "562-348-4588",
            "fax_number": "562-420-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHN",
        "first_name": "RICHARD",
        "middle_name": "SUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A162729",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A162729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.