Ji Hyun Chun, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA51792 Issued in CA

Practice address

30281 Golden Lantern
Laguna Niguel, CA 92677-5979

Phone

(949) 495-7144

Fax

(949) 495-0270

NPI assigned

Sep 23, 2010

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Phong H Bui Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Fountain Valley, CA
  • NPI 1770909830
  Medicare reassignment
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  NPD (past)

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982912945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "949-923-3277",
            "fax_number": "855-812-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30281 GOLDEN LANTERN",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775979",
            "telephone_number": "949-495-7144",
            "fax_number": "949-495-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30110 Crown Valley Pkwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926772043",
            "country_code": "US",
            "telephone_number": "949-495-7144",
            "fax_number": "949-495-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JI",
        "middle_name": "HYUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA51792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Choueiry, OD
• Christopher Auyong, DDS, Inc.
• John Chu, MD
• Veronica Chu
• Jennifer Chiang Chun, DPT
• Chin W Chung, MD
• Stephen Paul Chung, LAC
• Nancy Ann Cipollini, M.A., CCC-SLP
• Heidi Vivian Cipollone Herrera, MD
• Norman Coakley, D.O.

• Medical Physician Assistant in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.