Active NPI
Mark Michael Chung, MD
- Sleep Medicine (Internal Medicine) Physician
- Cerritos, CA
National Provider Identifier
1740290378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- G52290
- Practice address
- 11821 South St
Cerritos, CA 90703-6825 - Phone
- (562) 991-5679
- Fax
- (562) 991-5681
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G52290 | CA | |
| Internal Medicine Physician | 207R00000X | G52290 | CA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | G52290 | CA | Primary |
Addresses
Primary practice location
11821 South St
Cerritos, CA 90703-6825
Mailing address
PO Box 5279
Los Alamitos, CA 90721-5279
Phone (562) 598-1002
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 |
|---|---|---|---|---|
| I20100928000232 | CA | Practitioner - Pulmonary Disease | 7911817929 | Practice locations: Los Alamitos, CA; Huntington Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3791 Katella Ave
Suite 103
Los Alamitos, CA 90720-2000
Phone (562) 991-5679
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mark.chung.p1@direct.sleep.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1740290378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5279",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907215279",
"telephone_number": "562-598-1002",
"fax_number": "562-799-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11821 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036825",
"telephone_number": "562-991-5679",
"fax_number": "562-991-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "MARK",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G52290",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G52290",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "G52290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
- 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.