Active NPI
Bo Ram Chung, CRNA
- Certified Registered Nurse Anesthetist
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95000417
- Practice address
- 1600 W Avenue J
Lancaster, CA 93534-2814 - Phone
- (661) 949-5000
- NPI assigned
- Mar 24, 2015
- Last updated
- Dec 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN194250 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 95000417 | CA | Primary |
Addresses
Primary practice location
1600 W Avenue J
Lancaster, CA 93534-2814
Mailing address
23638 Lyons Ave Ste 153
Newhall, CA 91321-2513
Phone (404) 642-0900
Other practice location 1
100 W California Blvd
Pasadena, CA 91105
Phone (404) 642-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 440-9161
1600 W Ave J
Lancaster, CA 93534-2814
Phone (661) 949-5000
23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 200-1705
25751 McBean Pkwy
Suite 105
Valencia, CA 91355-3701
Phone (661) 200-1315
26357 McBean Pkwy
Suite 100
Santa Clarita, CA 91355-4489
Phone (661) 799-8300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.18 of 100
- Quality
- 54.44
- Improvement activities
- 40
- Cost
- 76.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000417 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relevo Health PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Metro Nursing Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Relevo Health PC | Current | Accepting new patients | |
| Xenon Anesthesia of Georgia LLC | Current | Accepting new patients | |
| Universal Pain Management Medical Corporation | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Pacific Valley Medical Group | Current | Accepting new patients | |
| Universal Pain Management Medical Corp | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Past | Accepting new patients | |
| Metro Nursing Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
420 E 3rd St
Ste 110
Los Angeles, CA 90013
Phone (213) 617-9194
6464 W Sunset Blvd
Ste 790
Los Angeles, CA 90028
Phone (323) 417-0336
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
815 Auto Center Dr
Palmdale, CA 93551
Phone (661) 206-6262
819 Auto Center Dr
Palmdale, CA 93551
Phone (661) 267-6876
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161
797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434
23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000
25751 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-1294
25751 McBean Pkwy
Ste 105
Valencia, CA 91355
Phone (661) 200-1315
26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300
28212 Kelly Johnson Pkwy
Ste 155
Valencia, CA 91355
Phone (661) 367-9788
3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Pasadena, CA
- NPI 1851312862
-
- Anesthesiology Physician
- Lancaster, CA
- NPI 1639104144
-
- Certified Registered Nurse Anesthetist
- Bellflower, CA
- NPI 1093970436
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Valencia, CA
- NPI 1003598475
-
- Specialist
- Palmdale, CA
- NPI 1427046655
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1366865123
-
- Anesthesiology Physician
- Palo Alto, CA
- NPI 1588023949
-
- Anesthesiology Physician
- Santa Clarita, CA
- NPI 1326802679
-
- Pain Medicine (Anesthesiology) Physician
- Valencia, CA
- NPI 1942502687
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Santa Clarita, CA
- NPI 1205693058
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
dba Huntington Hospital
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1720472020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23638 LYONS AVE STE 153",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212513",
"telephone_number": "404-642-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342814",
"telephone_number": "661-949-5000"
}
],
"practiceLocations": [
{
"address_1": "100 W California Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "91105",
"country_code": "US",
"telephone_number": "404-642-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "BO RAM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN194250",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.