Soojeong Chung, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

62761 Issued in CA

Practice address

2600 E Vineyard Ave
Oxnard, CA 93036-1615

Phone

(805) 436-3444

Fax

(805) 485-4160

NPI assigned

Jul 29, 2014

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: schung802598@direct.ochin.org
• Direct secure messaging: soojeong.chung.p1@direct.clinicas.nextgenshare.com

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.

• Beach Dental

  • Point of Service
  • Anaheim, CA
  • NPI 1518114776
  NPD (past)
• Byun and Patel DDS Inc

  dba La Mirada Dental Care

  • Dental Clinic/Center
  • La Mirada, CA
  • NPI 1922646827
  NPD (past)
• Byun and Patel, a Dental Corporation

  • General Practice Dentistry
  • La Mirada, CA
  • NPI 1366830382
  NPD (past)
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real, Inc., Paseo Camarillo

  • Federally Qualified Health Center (FQHC)
  • Camarillo, CA
  • NPI 1295297190
  NPD (past)
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real, Inc., La Colonia

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1942789359
  NPD (past)
• Thomas D. Han DMD, a Professional Corporation

  • Dental Clinic/Center
  • Anaheim, CA
  • NPI 1376954412
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1659789097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-673-3930",
            "fax_number": "805-659-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E VINEYARD AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361615",
            "telephone_number": "805-436-3444",
            "fax_number": "805-485-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SOOJEONG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Vianey Chocoteco
• Keum Kang Choi
• Preeti Chopra, M.D.
• Barbara Christianson, RN, PHN, CLC
• Edenmae Chu-Panganiban, NP
• Aurora Lea Churchwell, RN
• Ci Marina Medical Inc
• Tony N/a Cipriano, C.A.T.C.
• Paul Marian Cisarik, MD
• Ana Cisneros Sanchez

• Dentist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.