Tri Thanh Chuong, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95022126 Issued in CA

Practice address

17872 Gillette Ave Ste 240
Irvine, CA 92614-6573

Phone

(949) 535-4755

NPI assigned

Mar 24, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1689377897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17872 GILLETTE AVE STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146573",
            "telephone_number": "949-535-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17872 GILLETTE AVE STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146573",
            "telephone_number": "949-535-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUONG",
        "first_name": "TRI",
        "middle_name": "THANH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Seonwha Chung, M.D.
• Justin Chung
• Su Young Chung
• Yu Chia Chung, RD
• Chunzhu Yu DDS,Inc
• Sunita Churiwala, LMFT
• Robin L Ciafone, PHD
• Nichelle Elisabeth Cieri
• Michael Christian Cilnis, LPCC
• Bade Cinar

• Family Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.