Individual provider Active NPI

Peter Y Chung, M..D

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1922014257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A89424 Issued in CA
Practice address
8700 Beverly Blvd.
Los Angeles, CA 90048-1869
Phone
(310) 967-1884
Fax
(310) 967-1744
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A89424 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd.
Los Angeles, CA 90048-1869

Mailing address

PO Box 512717
Los Angeles, CA 90051-0717
Phone (310) 967-1884

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
I20060919000196 CA Practitioner - Internal Medicine 3173528510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Irvine, California College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

14743 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3641
Phone (818) 647-6850

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

8985 Venice Blvd
Suite a 3B
Los Angeles, CA 90034-3344
Phone (424) 502-1020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89424CAMDSpecialist
89424CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc CurrentSince Dec 10, 2016 Accepting new patients
West Hollywood Urgent Care CurrentSince Dec 10, 2016 Accepting new patients
Exer Medical Corporation CurrentSince Jul 18, 2023 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients

Locations (25 of 56)

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

2100 S Euclid St
Anaheim, CA 92802
Phone (310) 542-0800

242 S Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 652-2300

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

9726 Venice Blvd
Culver City, CA 90232
Phone (310) 202-1300

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

424 W Broadway
Glendale, CA 91204
Phone (818) 796-5396

1365 S Grand Ave
Glendora, CA 91740
Phone (626) 385-1456

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

2968 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 522-9500

4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002

475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377

5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883

16818 Hawthorne Blvd
Lawndale, CA 90260
Phone (310) 542-0800

4200 E Pacific Coast Hwy
Ste 150
Long Beach, CA 90804
Phone (562) 498-1555

269 S San Pedro St
Los Angeles, CA 90012
Phone (213) 947-3600

8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020

4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355

11560 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 477-8285

4623 Eagle Rock Blvd
Los Angeles, CA 90041
Phone (213) 878-5700

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922014257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512717",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510717",
            "telephone_number": "310-967-1884",
            "fax_number": "310-967-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481869",
            "telephone_number": "310-967-1884",
            "fax_number": "310-967-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "PETER",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M..D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A89424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.