NPIMap

Individual provider Active NPI

Pauline Phung, D.O.

  • Emergency Medicine Physician
  • Boardman, OH
National Provider Identifier
1649850207
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A22393 Issued in CA
Practice address
8401 Market St
Boardman, OH 44512-6725
Phone
(330) 729-7960
NPI assigned
Apr 8, 2021
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A22393 CA Primary
Emergency Medicine Physician 207P00000X 58.032248 OH

Addresses

Primary practice location

8401 Market St
Boardman, OH 44512-6725

Mailing address

21845 Heatheridge Dr
Yorba Linda, CA 92887-2614
Phone (714) 468-7844

Other practice location 1

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 729-7960

Other practice location 2

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 729-7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806000498 CA Practitioner - Emergency Medicine 3779984349 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Jude Emergency Medical Group IncGroup PAC ID 8224923479, 20 clinicians
MD Karan Singh Professional CorpGroup PAC ID 6800235458, 30 clinicians
Singh MD a Professional MedicalGroup PAC ID 8426584988, 18 clinicians

Practice addresses (Care Compare)

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (714) 871-3280

11370 Anderson St
Loma Linda, CA 92354-3450

600 N Highland Springs Ave
Banning, CA 92220-3046
Phone (833) 443-6287

820 E Mountain View St
Barstow, CA 92311-3004
Phone (858) 863-7382

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22393CAMDDentist
20A22393CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Emergency Medical Group Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Singh MD a Professional Medical Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 1, 2025 Accepting new patients
St Jude Emergency Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Jun 11, 2024 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jun 11, 2024 Accepting new patients
MD Karan Singh Professional Corp Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 9

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 6

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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1649850207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21845 HEATHERIDGE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872614",
            "telephone_number": "714-468-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Eastland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444844503",
            "country_code": "US",
            "telephone_number": "330-729-7960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-729-7960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "PAULINE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A22393",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "58.032248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.