Individual provider Active NPI

Tung Chu

  • Family Medicine Physician
  • Pomona, CA
National Provider Identifier
1659959161
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A21082 Issued in CA
Practice address
1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone
(909) 469-9494
Fax
(909) 469-2120
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A21082 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027

Mailing address

1770 N Orange Grove Ave Ste 201
Pomona, CA 91767-3027
Phone (909) 469-9494

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20240516000979 CA Practitioner - Family Practice 0042609067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City College of Medicine and Surgery, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027
Phone (909) 469-9494

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Merit-based Incentive Payment System (MIPS)

Final score
55.43 of 100Reported as group
Quality
13.12
Promoting interoperability
100
Improvement activities
0
Cost
74.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A21082CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Mar 18, 2024 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 18, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients

Locations

1011 Baldwin Park Blvd
Baldwin Park, CA 91706
Phone (626) 851-1011

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

3110 Chino Ave
Ste 150B
Chino Hills, CA 91709
Phone (909) 630-7868

3110 Chino Ave
Ste 150A
Chino Hills, CA 91709
Phone (909) 630-7490

1601 Monte Vista Ave
Ste 190
Claremont, CA 91711
Phone (909) 865-9977

1601 Monte Vista Ave
Ste 100
Claremont, CA 91711
Phone (909) 630-7938

2333 Foothill Blvd
Ste B
La Verne, CA 91750
Phone (909) 392-6501

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

1770 N Orange Grove Ave
Ste 201
Pomona, CA 91767
Phone (909) 469-9490

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1659959161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE STE 201",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-469-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-469-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "TUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A21082",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.