DR. MICHAEL CHUNG D.D.S., M.D.
NPI 1154795656
Oral & Maxillofacial Surgery in San Gabriel, CA

Q: What is Michael Chung's NPI number?

The NPI number for Michael Chung is 1154795656. It was assigned to this individual provider in the NPPES registry on November 20, 2015.

Q: What is Michael Chung's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: Is Michael Chung enrolled in Medicare?

No. Michael Chung has opted out of Medicare through October 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michael Chung was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2015Opted out of Medicare · through Oct 7, 2027

360 E LAS TUNAS DR STE 206, SAN GABRIEL, CA 91776(818) 768-2062 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2020, Nov 20, 2015 (2 updates tracked since 2015).

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About Dr. Michael Chung D.d.s., M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL CHUNG D.D.S., M.D. (NPI 1154795656) is an individual oral & maxillofacial surgery provider in San Gabriel, California, licensed in California (64035) and active in the NPI registry since November 2015. He has opted out of Medicare through October 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154795656

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. MICHAEL CHUNGCredential: D.D.S., M.D.

Location Address360 E LAS TUNAS DR STE 206San Gabriel, CA 91776-5514

Mailing Address360 E Las Tunas Dr Ste 206San Gabriel, CA 91776-5514 · (818) 780-2062

Phone(818) 768-2062

Sole ProprietorYes

Enumeration DateNovember 20, 2015

Last NPPES UpdateJune 25, 20202 updates tracked since enumeration

NPPES CertifiedJune 25, 2020

✔ NPI 1154795656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in CA · 64035

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentistTaxonomy 122300000X · License 64034 (CA)

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 64034 (CA)

360 E LAS TUNAS DR STE 206, San Gabriel, CA 91776

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Michael Chung D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2025 through October 7, 2027.

Opt-Out Effective DateOctober 7, 2025

Opt-Out In Effect ThroughOctober 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Chung's NPI number?

The NPI number for Michael Chung is 1154795656. It was assigned to this individual provider in the NPPES registry on November 20, 2015.

Where is Michael Chung located?

Michael Chung practices at 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776. The listed phone number is (818) 768-2062.

What is Michael Chung's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Michael Chung enrolled in Medicare?

No. Michael Chung has opted out of Medicare through October 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Chung accept?

Health plans from Humana and Renaissance Dental list Michael Chung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Chung was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.