Individual provider Active NPI

Samuel Wai-Kee Chung Jr., M.D.

  • Hematology & Oncology Physician
  • South Pasadena, CA
National Provider Identifier
1609057157
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A99757 Issued in CA
Practice address
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone
(626) 396-2900
Fax
(626) 799-2889
NPI assigned
Nov 26, 2007
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A99757 CA Primary

Addresses

Primary practice location

209 Fair Oaks Ave
South Pasadena, CA 91030

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185
Phone (626) 775-3514

Other practice location 1

301 W Huntington Dr Ste 400
Arcadia, CA 91007-3471
Phone (626) 218-9840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com CITY OF HOPE MEDICAL FOUNDATION

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
I20110921000533 CA Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Hematology/Oncology 4587835673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1500 E Duarte Rd
Duarte, CA 91010-3012

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

23823 Valencia Blvd
Suite 250
Santa Clarita, CA 91355-9512
Phone (626) 775-3200

301 W Huntington Dr
Suite 400
Arcadia, CA 91007-3471
Phone (626) 218-9840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99757CAMDMarriage & Family Therapist
A99757CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Hematology & Oncology CurrentSince Mar 5, 2012 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

301 W Huntington Dr
Ste 400
Arcadia, CA 91007
Phone (626) 218-9840

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

210 S Grand Ave
Ste 425
Glendora, CA 91741
Phone (626) 335-0213

1502 Arrow Hwy
La Verne, CA 91750
Phone (909) 593-4333

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1250 S Sunset Ave
Ste 303
West Covina, CA 91790
Phone (626) 856-5658

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: schung15288@cityofhope.direct-ci.com

Organizations & group practices 3

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1609057157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185",
            "telephone_number": "626-775-3514",
            "fax_number": "626-218-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "91030",
            "telephone_number": "626-396-2900",
            "fax_number": "626-799-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Huntington Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073471",
            "country_code": "US",
            "telephone_number": "626-218-9840",
            "fax_number": "626-218-9860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SAMUEL",
        "middle_name": "WAI-KEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A99757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.