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KIYON CHUNG MD, APC
NPI 1336645324
Internal Medicine - Cardiovascular Disease in San Diego, CA

Active since March 30, 2018
4060 4TH AVE, SUITE 650, SAN DIEGO, CA 92103(619) 819-7222(619) 299-5023 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Jun 16, 2018, Mar 30, 2018 (3 updates tracked since 2018).

About Kiyon Chung Md, Apc NPPES

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

KIYON CHUNG MD, APC (NPI 1336645324) is a healthcare organization registered as a cardiovascular disease in San Diego, California and active in the NPI registry since March 2018. The organization lists Kiyon Chung, President, as its authorized official.

NPPES Registry Identity

NPI1336645324
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameKIYON CHUNG MD, APC
Location Address4060 4TH AVE, SUITE 650San Diego, CA 92103-2121
Mailing Address4060 4th Ave Ste 650San Diego, CA 92103-2121 · (619) 819-7222 · Fax (619) 299-5023
Phone(619) 819-7222
Fax(619) 299-5023
Organization SubpartNo
Authorized OfficialKiyon ChungPresident · (619) 819-7222
Enumeration DateMarch 30, 2018
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1336645324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · C54514
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4060 4TH AVE, San Diego, CA 92103
Open in Google Maps ↗

Other Identifiers 1

OtherC54514CA · Medical Board Of California

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiyon Chung Md, Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kiyon Chung MD, Apc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kiyon Chung, MD
Cardiovascular Disease (Cardiology)
NPI 1972517910
4060 FOURTH AVE STE 650
San Diego, CA 92103
(619) 819-7222
✔ 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 Kiyon Chung MD, Apc's NPI number?

The NPI number for Kiyon Chung MD, Apc is 1336645324. It was assigned to this organization in the NPPES registry on March 30, 2018.

Where is Kiyon Chung MD, Apc located?

Kiyon Chung MD, Apc is located at 4060 4th Ave Suite 650, San Diego, CA 92103. The listed phone number is (619) 819-7222.

What is Kiyon Chung MD, Apc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kiyon Chung MD, Apc enrolled in Medicare?

Yes. Kiyon Chung MD, Apc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kiyon Chung MD, Apc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Kiyon Chung MD, Apc. 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 Kiyon Chung MD, Apc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.