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MARY S JUNG MD INC
NPI 1265537765
Dermatology in Orange, CA

Active since September 13, 2006
1506 E CHAPMAN AVE, ORANGE, CA 92866(714) 538-8556(714) 538-1082 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary S Jung Md Inc NPPES

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

MARY S JUNG MD INC (NPI 1265537765) is a healthcare organization registered as a dermatology in Orange, California and active in the NPI registry since September 2006. The organization lists Mary Sun Jung, President, as its authorized official.

NPPES Registry Identity

NPI1265537765
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMARY S JUNG MD INC
Location Address1506 E CHAPMAN AVEOrange, CA 92866-2231
Mailing Address1506 E Chapman AveOrange, CA 92866-2231 · (714) 538-8556 · Fax (714) 538-1082
Phone(714) 538-8556
Fax(714) 538-1082
Organization SubpartNo
Authorized OfficialMary Sun JungPresident · (714) 538-8556
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 31, 2014
✔ NPI 1265537765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A73312
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1506 E CHAPMAN AVE, Orange, CA 92866
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Other Identifiers 5

Other05D1058795CA · Clia
OtherA73312CA · Medical License
Medicaid00A733120CA
Medicare UPINH82603CA
Medicare PINW20013CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary S Jung Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20061005000601Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary S Jung MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Jung, M.D.
Internal Medicine
NPI 1821032871
1506 E CHAPMAN AVE
Orange, CA 92866
(714) 538-8556
✔ PECOS✔ Accepts MedicareSame address

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

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 Mary S Jung MD Inc's NPI number?

The NPI number for Mary S Jung MD Inc is 1265537765. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Mary S Jung MD Inc located?

Mary S Jung MD Inc is located at 1506 E Chapman Ave, Orange, CA 92866. The listed phone number is (714) 538-8556.

What is Mary S Jung MD Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mary S Jung MD Inc enrolled in Medicare?

Yes. Mary S Jung MD Inc is registered in the Medicare PECOS enrollment system.

When is Mary S Jung MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mary S Jung MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mary S Jung MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mary S Jung MD Inc was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.