Active NPI
Chin Seung, M.D.
- Diagnostic Radiology Physician
- Lakewood, CA
National Provider Identifier
1669439667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A61109
- Practice address
- 3700 South St
Lakewood, CA 90712-1419 - Phone
- (562) 531-2550
- NPI assigned
- Apr 26, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A61109 | CA | Primary |
Addresses
Primary practice location
3700 South St
Lakewood, CA 90712-1419
Mailing address
PO Box 190
Simi Valley, CA 93062-0190
Phone (805) 522-5940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A611090 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110415000273 | CA | Practitioner - Diagnostic Radiology | 3779534102 | Practice locations: Fullerton, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A61109 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oc Imaging JV, LLC | Current | Accepting new patients | |
| North Oc Imaging JV, LLC | Current | Accepting new patients | |
| Shin MRI LLC | Current | Accepting new patients | |
| Shin Imaging LLC | Current | Accepting new patients | |
| Shin Imaging LLC | Current | Accepting new patients |
Locations
15855 Pomona Rincon Rd
Ste 101
Chino Hills, CA 91709
1955 Sunny Crest Dr
Ste 110
Fullerton, CA 92835
Phone (310) 995-6689
13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279
266 S Harvard Blvd
Ste 180
Los Angeles, CA 90004
Phone (213) 387-3002
Organizations & group practices 5
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.
-
- Radiology Clinic/Center
- Chino Hills, CA
- NPI 1376209940
-
- Radiology Clinic/Center
- Irvine, CA
- NPI 1952026643
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1295841377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1669439667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930620190",
"telephone_number": "805-522-5940",
"fax_number": "805-522-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 SOUTH ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121419",
"telephone_number": "562-531-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEUNG",
"first_name": "CHIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A61109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A611090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.