Organization Active NPI

Huntington Eye Medical Group Inc

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1033342118
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G71794 Issued in CA
Legal business name
HUNTINGTON EYE MEDICAL GROUP INC
Practice address
800 So. Fairmount Ave
Suite 219
Pasadena, CA 91105-3153
Phone
(626) 844-7001
Fax
(626) 844-7089
NPI assigned
Aug 24, 2009
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Dr. Jeffrey C Hong, M.D.NPI 1922049055
Title
Owner/Doctor
Phone
(626) 844-7001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G71794 CA Primary

Addresses

Primary practice location

800 So. Fairmount Ave
Suite 219
Pasadena, CA 91105-3153

Mailing address

800 So. Fairmount Ave
Suite 219
Pasadena, CA 91105-3153
Phone (626) 844-7001

Other practice location 1

2020 Huntington Dr
San Marino, CA 91108-2022
Phone (626) 844-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091029000725 CA Part B Supplier - Clinic/Group Practice 9335286962 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA; San Marino, CA

National Provider Directory

National Provider Directory

Locations

2020 Huntington Dr
San Marino, CA 91108
Phone (626) 289-7856

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1033342118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SO. FAIRMOUNT AVE",
            "address_2": "SUITE 219",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053153",
            "telephone_number": "626-844-7001",
            "fax_number": "626-844-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SO. FAIRMOUNT AVE",
            "address_2": "SUITE 219",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053153",
            "telephone_number": "626-844-7001",
            "fax_number": "626-844-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Huntington Dr",
            "address_purpose": "LOCATION",
            "city": "San Marino",
            "state": "CA",
            "postal_code": "911082022",
            "country_code": "US",
            "telephone_number": "626-844-7001",
            "fax_number": "626-844-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUNTINGTON EYE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "626-844-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G71794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.