Active NPI
Andrew Chung, DO
- Orthopaedic Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20A17174
- Practice address
- 1520 San Pablo St Ste 2000
Los Angeles, CA 90033-5322 - Phone
- (323) 442-5860
- NPI assigned
- Apr 2, 2014
- Last updated
- Jul 25, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 20A17174 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St Ste 2000
Los Angeles, CA 90033-5322
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BHSM Rehabilitation LLC
Practice addresses (Care Compare)
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000
13995 W Statler Blvd
BLDG 1
Surprise, AZ 85374-5501
Phone (623) 478-3100
14416 W Meeker Blvd
Sun City, AZ 85375-5284
Phone (623) 876-3800
14502 W Meeker Blvd
Banner Health Clinic
Sun City West, AZ 85375-5282
Phone (623) 524-4000
25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866
5555 W Thunderbird Rd
Banner Health Clinic
Glendale, AZ 85306-4622
Phone (602) 865-5555
7701 W Aspera Blvd
Stes 102 201 301
Glendale, AZ 85308-7935
Phone (623) 248-2100
9165 W Thunderbird Rd
Suite 200
Peoria, AZ 85381-4847
Phone (623) 285-1120
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 347 |
| Laminectomy or laminotomy (partial removal of spine bones) | 122 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17174 | CA | MD | Orthopaedic Surgery Physician |
| 17174 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Spine Center P.C. | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Abc Spine Inc. | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Banner del E Webb Medical Center | Past | Accepting new patients |
Locations
5681 W Beverly Ln
Ste 101
Glendale, AZ 85306
7701 W Aspera Blvd
Ste 102
Glendale, AZ 85308
Phone (623) 248-2100
9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120
9165 W Thunderbird Rd
Ste 100
Peoria, AZ 85381
Phone (623) 876-6960
9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083
13995 W Statler Blvd
Bldg 1
Surprise, AZ 85374
Phone (623) 478-3100
1255 W Rio Salado Pkwy
Ste 107
Tempe, AZ 85281
Phone (602) 443-4170
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1520 San Pablo St
Ste 2000
Los Angeles, CA 90033
Phone (323) 442-5830
444 S San Vicente Blvd
Ste 900
Los Angeles, CA 90048
Phone (310) 248-7300
444 S San Vicente Blvd
Ste 901
Los Angeles, CA 90048
Phone (310) 248-7322
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICIFBD
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- Orthopaedic Surgery of the Spine Physician
- Los Angeles, CA
- NPI 1427585306
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Orthopaedic Surgery
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Orthopaedic Surgery of the Spine Physician
- Tempe, AZ
- NPI 1013975333
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1316228802
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
-
- Clinical Cardiac Electrophysiology Physician
- Scottsdale, AZ
- NPI 1851921779
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1750709036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST STE 2000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335322",
"telephone_number": "323-442-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "ANDREW",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A17174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.