Active NPI
Yela Jung, MD
- Allergy & Immunology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A179217
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB486657 | Other | CA | MEDICARE PTAN |
| 1780145573 | Medicaid | VA |
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 |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| A179217 | CA | MD | Allergy & Immunology Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Partners of California, Inc. | Allergy & Immunology | Current | 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.
-
- Allergy & Immunology Physician
- San Luis Obispo, CA
- NPI 1992002182
Allergy & Immunology, CA
-
- Allergy & Immunology Physician
- Orange, CA
- NPI 1144659491
Allergy & Immunology
-
- Hospitalist Physician
- Orange, CA
- NPI 1154479723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.