Chun Jackson NG, D.C., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 21272 Issued in CA

Practice address

18575 Gale Ave
Suite 278
City of Industry, CA 91748-1340

Phone

(888) 997-2674

Fax

(714) 798-2366

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Scosi Orthopedics Inc

  • Orthopaedic Surgery Physician
  • City of Industry, CA
  • NPI 1104182104
  Medicare reassignment
• Shi Yin Wong MD, a Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1619029964
  Medicare reassignment

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1598967507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3927",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928343927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE",
            "address_2": "SUITE 278",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481340",
            "telephone_number": "888-997-2674",
            "fax_number": "714-798-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "CHUN",
        "middle_name": "JACKSON",
        "name_prefix": "Mr.",
        "credential": "D.C., PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC 29413",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 21272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Medical Transportation, Inc.
• National Vision, Inc.
• Elise Navarro
• Rhinell Navora
• Crystal Newton
• Ngo & Nguyen, Apdc
• Tiffany Ngo
• Tracy Tram Ngo
• Sophia Nguessan
• Catherine Nguyen, PHARMD

• Physician Assistant in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.