Individual provider Active NPI

Jayson Choi Jun, MSN, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1760808240
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95000340 Issued in CA
Practice address
18700 Main St Ste 108
Huntington Beach, CA 92648-1713
Phone
(949) 424-5224
Fax
(714) 587-9033
NPI assigned
Mar 8, 2014
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95000340 CA Primary

Addresses

Primary practice location

18700 Main St Ste 108
Huntington Beach, CA 92648-1713

Mailing address

18700 Main St Ste 108
Huntington Beach, CA 92648-1713
Phone (949) 424-5224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160929001727 CA Practitioner - Nurse Practitioner 1951607688 Reassigns benefits to 6 organizations
I20250925003116 WA Practitioner - Nurse Practitioner 1951607688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progeny Psychiatric Clinic a Medical CorporationGroup PAC ID 4688904592, 33 clinicians

Practice addresses (Care Compare)

19671 Beach Blvd
Suite 442
Huntington Beach, CA 92648-5931
Phone (949) 722-7118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jul 13, 2025 Accepting new patients
Reddy Urgent Care,Inc CurrentSince Apr 10, 2018 Accepting new patients
Progeny TMS Corporation CurrentSince Jun 12, 2024 Accepting new patients
Special Service for Groups CurrentSince Aug 31, 2022 Accepting new patients
Special Service for Groups, Inc. Current Accepting new patients
Special Service for Groups, Inc. CurrentSince Aug 31, 2022 Accepting new patients

Locations

17782 Cowan
Ste A
Irvine, CA 92614

17782 Cowan
Ste D
Irvine, CA 92614
Phone (949) 748-1531

123 Atlantic Ave
Ste B
Long Beach, CA 90802
Phone (562) 209-1569

4237 Atlantic Ave
Long Beach, CA 90807
Phone (562) 336-1656

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

14501 Magnolia St
Ste 104
Westminster, CA 92683
Phone (714) 891-0080

19435 68th Ave S
Ste S102
Kent, WA 98032
Phone (253) 414-1983

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1760808240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 108",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481713",
            "telephone_number": "949-424-5224",
            "fax_number": "714-587-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 108",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481713",
            "telephone_number": "949-424-5224",
            "fax_number": "714-587-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUN",
        "first_name": "JAYSON",
        "middle_name": "CHOI",
        "credential": "MSN, FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-08",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95000340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.