Individual provider Active NPI

Jue-Rong Zhang, M.D.

  • Anatomic Pathology Physician
  • Tulare, CA
National Provider Identifier
1013938760
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
00A695670 Issued in CA
Practice address
890 N Cherry St
Tulare, CA 93274-2208
Phone
(559) 686-4000
Fax
(559) 686-9432
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 00A695670 CA Primary

Addresses

Primary practice location

890 N Cherry St
Tulare, CA 93274-2208

Mailing address

890 N Cherry St
Tulare, CA 93274-2208
Phone (559) 686-4000

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ58691ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00A695670CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare Past Accepting new patients
Premier Pathology Laboratories Inc Past Accepting new patients
Microcorre Diagnostic Laboratory Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1013938760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742208",
            "telephone_number": "559-686-4000",
            "fax_number": "559-686-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742208",
            "telephone_number": "559-686-4000",
            "fax_number": "559-686-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JUE-RONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "00A695670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ58691Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.