Judy Tung, MHS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA56480 Issued in CA

Practice address

1385 Blackstone Rd
San Marino, CA 91108-2720

Phone

(626) 512-7660

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

Yes

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Planned Parenthood Pasadena and San Gabriel Valley Inc

  • Community Health Clinic/Center
  • Pasadena, CA
  • NPI 1073669040
  Medicare reassignment NPD
• Planned Parenthood Pasadena and San Gabriel Valley Inc

  • Community Health Clinic/Center
  • Highland Park, CA
  • NPI 1407406630
  NPD

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1669936894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 BLACKSTONE RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082720",
            "telephone_number": "626-512-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 BLACKSTONE RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082720",
            "telephone_number": "626-512-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "JUDY",
        "credential": "MHS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tin-Hoang Nguyen D.D.S., Inc.
• Roberto Tostado, MD
• Teresa Avendano Tostado, NP
• Total Potential Physical Therapy: Wellness & Rehabilitation, PC
• Robert Trujillo, PH.D
• Christine Tzeng, COTA
• Van Nuys Diagnostic Services, Inc.
• Vision Institute of Southern California a Professional Medical Corpora
• Karl Friedrich Vontiehl, M.D.
• Elyse Vrymoed

• Physician Assistant in San Marino, CA
• Providers in San Marino, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.