Korey Stephen Jorgensen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G22133 Issued in CA

Practice address

362 3Rd St
Laguna Beach, CA 92651-2307

Phone

(949) 494-0761

Fax

(949) 494-3154

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1053349795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 3RD ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512307",
            "telephone_number": "949-494-0761",
            "fax_number": "949-494-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 3RD ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512307",
            "telephone_number": "949-494-0761",
            "fax_number": "949-494-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "KOREY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G22133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G22133A00",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225149222",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT11948F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherlin Johnson, M.D.
• Mickey Lynn Johnson, MSW
• Jonathan Duong O.D., Inc. (Laguna Coast Optometry)
• Jonathan E Shaywitz MD Inc
• Donna L Jones
• Mark Andrew Judy, D.M.D.
• Kaitlyn Kuo and Associates Psychology Corp (Soulidarity Therapy)
• Kalmanovich Dental Corp
• Alexander Kalmanovich, D.D.S., INC.
• Christopher Young Kang, M.D.

• Family Medicine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.