Active NPI
Jane K. Chung, L.AC
- Acupuncturist
- Garden Grove, CA
National Provider Identifier
1740377738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC5795
- Practice address
- 13341 Garden Grove Blvd
Garden Grove, CA 92843-2255 - Phone
- (714) 293-5544
- Fax
- (562) 278-2378
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC5795 | CA | Primary |
Addresses
Primary practice location
13341 Garden Grove Blvd
Garden Grove, CA 92843-2255
Mailing address
21301 Norwalk Blvd. Unit 96
Hawaiian Gardens, CA 90716
Phone (714) 293-5544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7817487 | Other | AETNA | |
| CA0057950 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC5795 | CA | MD | Acupuncturist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1740377738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21301 NORWALK BLVD. UNIT 96",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "90716",
"telephone_number": "714-293-5544",
"fax_number": "562-278-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13341 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928432255",
"telephone_number": "714-293-5544",
"fax_number": "562-278-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JANE",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7817487",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "CA0057950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.