Beau Michael Chung, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A14922 Issued in CA

Practice address

3220 S Brea Canyon Rd
Suite H
Diamond Bar, CA 91765-3481

Phone

(909) 594-1848

NPI assigned

Aug 31, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

College of Osteo Med of the Pacific at Pomona, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Peppertree Multispecialty Medical Group, Inc.

  • Family Medicine Physician
  • Diamond Bar, CA
  • NPI 1740303924
  Medicare reassignment NPD Authorized official
• SD Xray LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Diamond Bar, CA
  • NPI 1679134118
  NPD Authorized official
• Allied Physicians Inc

  • Neurology Physician
  • Fort Wayne, IN
  • NPI 1609867605
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1841746799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S BREA CANYON RD",
            "address_2": "STE H",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653481",
            "telephone_number": "909-594-1848",
            "fax_number": "909-594-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S BREA CANYON RD",
            "address_2": "SUITE H",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653481",
            "telephone_number": "909-594-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "BEAU",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A14922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Chu
• Tammy Chu, DDS
• Jackline Chumo
• Jonie Chung Morita, D.C.
• Ashley Chung, DTR
• Erin Hannah Chung
• Peter Howon Chung, D.D.S.
• Yoon Jee Chung
• Edwin T Chuong, M.D.
• Clearwater Care Partners LLC

• General Practice Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.