Individual provider Active NPI

Albert Ken Chong, MD

  • Orthopaedic Surgery Physician
  • Pomona, CA
National Provider Identifier
1700819653
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A76160 Issued in CA
Practice address
160 E Artesia St
Suite # 360
Pomona, CA 91767-2900
Phone
(909) 629-4604
Fax
(909) 629-4704
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A76160 CA Primary

Addresses

Primary practice location

160 E Artesia St
Suite # 360
Pomona, CA 91767-2900

Mailing address

840 Towne Center Dr
Chaparral Medical Group
Pomona, CA 91767-5900
Phone (909) 398-1550

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
I20060110000584 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5890718498 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Orthopaedic Surgery Current Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Feb 1, 2007 Accepting new patients
Chaparral Medical Group Inc CurrentSince Sep 1, 2004 Accepting new patients
Chaparral Medical Group, Inc. Orthopaedic Surgery Current Accepting new patients

Locations

1904 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 469-1823

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

160 E Artesia St
Ste 360
Pomona, CA 91767
Phone (909) 629-4604

160 E Artesia St
Ste 220
Pomona, CA 91767
Phone (909) 623-3428

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

9190 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 527-8110

1330 San Bernardino Rd
Ste L
Upland, CA 91786
Phone (909) 833-0110

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1700819653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "address_2": "CHAPARRAL MEDICAL GROUP",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST",
            "address_2": "SUITE # 360",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672900",
            "telephone_number": "909-629-4604",
            "fax_number": "909-629-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "ALBERT",
        "middle_name": "KEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A76160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.