Active NPI
Alice Mi Jung Ing, MD
- Psychiatry Physician
- Orange, CA
National Provider Identifier
1629564596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A165149
- Practice address
- 3800 W Chapman Ave Ste 500
Orange, CA 92868-1638 - Phone
- (714) 456-7890
- NPI assigned
- Jul 3, 2018
- Last updated
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A165149 | CA | Primary |
Addresses
Primary practice location
3800 W Chapman Ave Ste 500
Orange, CA 92868-1638
Mailing address
101 The City Dr S
Orange, CA 92868-3201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165149 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1629564596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 W CHAPMAN AVE STE 500",
"city": "ORANGE",
"state": "CA",
"postal_code": "928681638",
"telephone_number": "714-456-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ING",
"first_name": "ALICE",
"middle_name": "MI JUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A165149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.