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MRS. KIMI KYUNGRI CHUNG MS, CCC-A
NPI 1255580213
Audiologist-Hearing Aid Fitter in Fullerton, CA

Active since September 15, 2008Accepts Medicare Assignment
100 E VALENCIA MESA DR STE 111, FULLERTON, CA 92835(714) 441-0133(714) 441-1082 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kimi Kyungri Chung Ms, Ccc-a NPPES

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

MRS. KIMI KYUNGRI CHUNG MS, CCC-A (NPI 1255580213) is an individual audiologist-hearing aid fitter provider in Fullerton, California, licensed in California (AU2628) and active in the NPI registry since September 2008. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1255580213
Entity TypeIndividualFemale
Primary Taxonomy237600000X
Provider Legal NameMRS. KIMI KYUNGRI CHUNGCredential: MS, CCC-A
Location Address100 E VALENCIA MESA DR STE 111Fullerton, CA 92835-3816
Mailing Address100 E Valencia Mesa Dr Ste 111Fullerton, CA 92835-3816 · (714) 441-0133 · Fax (714) 441-1082
Phone(714) 441-0133
Fax(714) 441-1082
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 15, 2008
Last NPPES UpdateFebruary 23, 2024
✔ NPI 1255580213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
Taxonomy Code237600000X
Licenses✔ Licensed in CA · AU2628✔ Licensed in CA · HTL8467
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
100 E VALENCIA MESA DR STE 111, Fullerton, CA 92835
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimi Kyungri Chung Ms, Ccc-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436294865
PECOS Enrollment IDI20100309000762

Medicare Billing Reassignments

2

Medicare enrollment records show Kimi Kyungri Chung reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
2.0 mi
Health Maintenance Organization
1893 W MALVERN AVE
Fullerton, CA 92833
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1336556059 (877) 608-0044
Healthcare Partners Affiliates Medical Group
12 mi
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1891981502 (714) 442-4864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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
$62.96 typical visit price
range $62.96 – $187.60
Typical copayment $15.74 (range $15.74 – $46.90)
Most-billed visit code 99202
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kimi Kyungri Chung's NPI number?

The NPI number for Kimi Kyungri Chung is 1255580213. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Kimi Kyungri Chung located?

Kimi Kyungri Chung practices at 100 E Valencia Mesa Dr Ste 111, Fullerton, CA 92835. The listed phone number is (714) 441-0133.

What is Kimi Kyungri Chung's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

Is Kimi Kyungri Chung enrolled in Medicare?

Yes. Kimi Kyungri Chung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimi Kyungri Chung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimi Kyungri Chung reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Fullerton, CA) and Healthcare Partners Affiliates Medical Group (Tustin, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimi Kyungri Chung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimi Kyungri Chung was last updated on February 23, 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.