DR. NICOLE CHONG MD
NPI 1184467672
Student in an Organized Health Care Education/Training Program in Glendale, CA
About Dr. Nicole Chong Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE CHONG MD (NPI 1184467672) is an individual student in an organized health care education/training program in Glendale, California and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nicole Chong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENDALE, CA 91206
GLENDALE, CA 91206
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 Nicole Chong's NPI number?
The NPI number for Nicole Chong is 1184467672. It was assigned to this individual provider in the NPPES registry on June 13, 2024.
Where is Nicole Chong located?
Nicole Chong practices at 1509 Wilson Ter, Glendale, CA 91206. The listed phone number is (818) 409-8000.
What is Nicole Chong's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicole Chong enrolled in Medicare?
Yes. Nicole Chong is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicole Chong was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Nicole Chong, MD · NPI 1184467672
Student in an Organized Health Care Education/Training Program provider in Glendale, California. Individual provider, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1184467672 (Entity type: Individual)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1509 WILSON TER, Glendale, CA 91206-4007
- **Phone:** (818) 409-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184467672) · Data from the CMS NPPES public registry.