Jiman Jung, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95002124 Issued in CA

Practice address

20627 Golden Springs Dr Ste 2D&E
Diamond Bar, CA 91789-4814

Phone

(909) 480-0099

Fax

(909) 480-0088

NPI assigned

Nov 21, 2011

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hee Yong Oh MD IncGroup PAC ID 1456524784, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jiman.jung@954855743225860.direct.elationemr.com

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

• Hee Yong Oh MD Inc

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1457636094
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1093082885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20627 GOLDEN SPRINGS DR STE 2D&E",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917894814",
            "telephone_number": "094-800-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20627 GOLDEN SPRINGS DR STE 2D&E",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917894814",
            "telephone_number": "909-480-0099",
            "fax_number": "909-480-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JIMAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60243614",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95002124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterin Joseph, SLP
• Joserita Hospice Care, Inc.
• Julian P Yniguez Physical Therapy, Inc.
• Da Eun Jung, DDS
• Hyeyoung Jung, LCSW
• Fnu Kadionga Peter, MS
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Phmcy #554)
• Florence Wangari Kamau, RN
• Margaret Wanjiru Kamau
• Kamini S Chari MD Inc

• Family Nurse Practitioner in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.