Individual provider Active NPI

Gihyun Myung

  • Rheumatology Physician
  • Fountain Valley, CA
National Provider Identifier
1902160922
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
129272 Issued in CA
Practice address
11100 Warner Ave Ste 200
Fountain Valley, CA 92708-7510
Phone
(949) 569-3034
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 129272 CA Primary

Addresses

Primary practice location

11100 Warner Ave Ste 200
Fountain Valley, CA 92708-7510

Mailing address

11100 Warner Ave Ste 200
Fountain Valley, CA 92708-7510
Phone (949) 569-3034

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
I20241113002026 CA Practitioner - Rheumatology 7911213012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Northwestern University Feinberg Medical School, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Complete Care Community Health Center, IncGroup PAC ID 3779494190, 45 clinicians

Practice addresses (Care Compare)

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033-3110
Phone (323) 266-6700

Hospital & facility affiliations

  • Advent Healthcare Services, Inc Home health agency, Diamond Bar, CA, CCN 058466
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129272CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Oct 25, 2024 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Oct 25, 2024 Accepting new patients

Locations

11100 Warner Ave
Ste 200
Fountain Vly, CA 92708
Phone (714) 455-1647

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gihyun.myung.p1@direct.ccchcenter.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1902160922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087510",
            "telephone_number": "949-569-3034",
            "fax_number": "714-434-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087510",
            "telephone_number": "949-569-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYUNG",
        "first_name": "GIHYUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "129272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.