MR. JAE HWAN CHUNG NP
NPI 1184053662
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Jae Chung's NPI number?

The NPI number for Jae Chung is 1184053662. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Q: What is Jae Chung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Chung was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 05, 2013PECOS Enrolled

520 S VIRGIL AVE STE 507, LOS ANGELES, CA 90020(310) 850-9925 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jae Hwan Chung Np NPPES

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

MR. JAE HWAN CHUNG NP (NPI 1184053662) is an individual family provider in Los Angeles, California, licensed in California (95004056) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184053662

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JAE HWAN CHUNGCredential: NP

Location Address520 S VIRGIL AVE STE 507Los Angeles, CA 90020-1452

Mailing Address1720 Mission St Apt 5South Pasadena, CA 91030-3329 · (310) 850-9925

Phone(310) 850-9925

Sole ProprietorYes

Enumeration DateNovember 5, 2013

Last NPPES UpdateJune 16, 2016

✔ NPI 1184053662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95004056

520 S VIRGIL AVE STE 507, Los Angeles, CA 90020

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jae Hwan Chung Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers27 claims54 services$4.38 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers20 claims20 services$0.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIN Y CHA M.D.

Internal Medicine

520 S VIRGIL AVE STE 507
LOS ANGELES, CA 90020

Los Angeles County (213) 480-7770

SMG MEDICAL PRACTICE GROUP PC

Internal Medicine

520 S VIRGIL AVE STE 507
LOS ANGELES, CA 90020

Los Angeles County (000) 000-0000

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 Jae Chung's NPI number?

The NPI number for Jae Chung is 1184053662. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Jae Chung located?

Jae Chung practices at 520 S Virgil Ave Ste 507, Los Angeles, CA 90020. The listed phone number is (310) 850-9925.

What is Jae Chung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jae Chung enrolled in Medicare?

Yes. Jae Chung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae Chung was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.