Active NPI
Angel Luis Chong
- Social Worker
- Colton, CA
National Provider Identifier
1659413607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1330 E Cooley Dr
Colton, CA 92324-3905 - Phone
- (909) 423-0762
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1330 E Cooley Dr
Colton, CA 92324-3905
Mailing address
4732 N Mayfield Ave
San Bernardino, CA 92407-3632
Phone (909) 886-0305
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659413607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4732 N MAYFIELD AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924073632",
"telephone_number": "909-886-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 E COOLEY DR",
"city": "COLTON",
"state": "CA",
"postal_code": "923243905",
"telephone_number": "909-423-0762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "ANGEL",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.