Samuel Kwok-Kuen Chung, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A33894 Issued in CA

Practice address

223 N. Garfield Ave, Suite 301
Monterey Park, CA 91754

Phone

(626) 572-3688

Fax

(626) 572-2788

NPI assigned

Sep 29, 2006

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

Other identifiers 2

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

Specialty

Family PracticeAlso: General Surgery

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (6 of 7)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: samuel.chung@1025547145576452.direct.elationemr.com

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.

• Super Care Medical Group Inc

  • General Practice Physician
  • Monterey Park, CA
  • NPI 1053652354
  Medicare reassignment NPD Authorized official
• Unicare Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1639066491
  Medicare reassignment NPD
• All Well Community Health Center

  • Clinic/Center
  • Rowland Heights, CA
  • NPI 1346106390
  Medicare reassignment
• Unicare Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Colton, CA
  • NPI 1447604582
  NPD
• Unicare Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington Park, CA
  • NPI 1871484618
  NPD
• KC Tan, M.D. Medical Corporation

  • Neuroradiology Physician
  • Monterey Park, CA
  • NPI 1215394036
  NPD (past)
• Santa Rita Medical Center

  • Family Medicine Physician
  • Ontario, CA
  • NPI 1407964919
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1992897458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N. GARFIELD AVE, SUITE 301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-572-3688",
            "fax_number": "626-572-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N. GARFIELD AVE, SUITE 301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-572-3688",
            "fax_number": "626-572-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SAMUEL",
        "middle_name": "KWOK-KUEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A33894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A33894",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A338940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Yahan Chung, NP-C
• Danny K Chung, M.D.
• James Chung
• Kwok Leung Chung, M.D.
• Oi Y. Chung, P.A.,N.P.
• Tiffany M Chung
• Cindy Shu Medical Group, Inc.
• City of Monterey Park
• CJ Holdings Corporation
• Clarity Medical Supply

• General Practice Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.