Individual provider Active NPI

Joyce Chung, MSN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Orange, CA
National Provider Identifier
1851944821
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95012193 Issued in CA
Practice address
705 W la Veta Ave Ste 107
Orange, CA 92868-4447
Phone
(714) 639-4901
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95012193 CA Primary

Addresses

Primary practice location

705 W la Veta Ave Ste 107
Orange, CA 92868-4447

Mailing address

705 W la Veta Ave Ste 107
Orange, CA 92868-4447
Phone (714) 639-4901

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423001250 CA Practitioner - Nurse Practitioner 8820428352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Specialists Medical Group, Inc.Group PAC ID 4981780798, 5 clinicians

Practice addresses (Care Compare)

705 W la Veta Ave
Suite 107
Orange, CA 92868-4447
Phone (714) 639-4901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012193CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Specialists Medical Group, Inc. CurrentSince Sep 20, 2022 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

520 Superior Ave
Ste 340
Newport Beach, CA 92663
Phone (714) 963-7240

361 Hospital Rd
Ste 227
Newport Beach, CA 92663
Phone (949) 436-7294

705 W La Veta Ave
Ste 107
Orange, CA 92868
Phone (714) 639-4901

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7431/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joyce.chung.1@7431.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1851944821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 107",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684447",
            "telephone_number": "714-639-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 107",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684447",
            "telephone_number": "714-639-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JOYCE",
        "credential": "MSN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95012193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.