NPIMap

Individual provider Active NPI

Winston Chung, MD

  • Internal Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1851322085
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G79052 Issued in CA
Practice address
3801 Katella Ave
Suite 330
Los Alamitos, CA 90720-3338
Phone
(562) 594-9546
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G79052 CA Primary

Addresses

Primary practice location

3801 Katella Ave
Suite 330
Los Alamitos, CA 90720-3338

Mailing address

3801 Katella Ave
Suite 330
Los Alamitos, CA 90720-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000289 CA Practitioner - Internal Medicine 9931244027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

3801 Katella Ave
Los Alamitos, CA 90720-3396

Hospital & facility affiliations

  • Charity Home Health Services Home health agency, Torrance, CA, CCN 557799
  • Grace Home Health Care Home health agency, Long Beach, CA, CCN 557613
  • Parentis Home Health Home health agency, Laguna Hills, CA, CCN 059760
  • Advent Healthcare Services, Inc Home health agency, Diamond Bar, CA, CCN 058466
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Artesia Christian Home Inc. Nursing home, Artesia, CA, CCN 055539
  • Alamitos West Health & Rehabilitation Nursing home, Los Alamitos, CA, CCN 056169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79052CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Jun 24, 2022 Accepting new patients
Prohealth Partners a Medical Group Inc Internal Medicine CurrentSince Oct 1, 1995 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Oct 1, 1995 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine Current Accepting new patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
THC - Orange County LLC Past Accepting new patients
Santa Ynez Valley Cottage Hospital, Inc Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1045 Atlantic Ave
Ste 506
Long Beach, CA 90813
Phone (562) 432-9911

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: winston.chung.1@30710.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Artesia Christian Home, Inc.Artesia, CA, CCN 055539 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF		 Dec 1, 2021
Dec 1, 2021
Dec 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1851322085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 330",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 330",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-594-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "WINSTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.