Individual provider Active NPI

Yela Jung, MD

  • Allergy & Immunology Physician
  • Orange, CA
National Provider Identifier
1780145573
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A179217 Issued in CA
Practice address
1140 W la Veta Ave Ste 850
Orange, CA 92868-4218
Phone
(714) 771-7994
Fax
(714) 744-4167
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A179217 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave Ste 850
Orange, CA 92868-4218

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
CB486657OtherCAMEDICARE PTAN
1780145573MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801002005 CA Practitioner - Allergy/Immunology 2163831744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Loma Linda University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of California IncGroup PAC ID 0143498097, 12 clinicians

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 850
Orange, CA 92868-4218
Phone (714) 771-7994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A179217CAMDAllergy & Immunology Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Allergy Partners of California, Inc. Allergy & Immunology CurrentSince Jul 31, 2024 Accepting new patients
Allergy Partners of California, Inc. Allergy & Immunology Current Accepting new patients
The Regents of the University of California-Irvine Past Accepting new patients

Locations

1440 N Harbor Blvd
Ste 708
Fullerton, CA 92835
Phone (714) 451-0801

4050 Barranca Pkwy
Ste 110
Irvine, CA 92604
Phone (714) 771-7994

1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724

1140 W La Veta Ave
Ste 850
Orange, CA 92868
Phone (714) 560-4450

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1780145573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 850",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684218",
            "telephone_number": "714-771-7994",
            "fax_number": "714-744-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "YELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A179217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB486657",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780145573",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.