Individual provider Active NPI

Jingjie Xue, MD

  • Anesthesiology Physician
  • City of Industry, CA
National Provider Identifier
1093806853
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07425000 Issued in NJ
Practice address
18575 Gale Ave
Suite 198
City of Industry, CA 91748-1340
Phone
(626) 965-3880
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA07425000 NJ Primary

Addresses

Primary practice location

18575 Gale Ave
Suite 198
City of Industry, CA 91748-1340

Mailing address

14120 Alondra Blvd
Suite C
Santa Fe Springs, CA 90670-5820
Phone (562) 407-2080

Other identifiers 1

IdentifierTypeStateIssuer
9064303MedicaidNJ

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000166 CA Practitioner - Anesthesiology 2163521618 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talbert Anesthesia Group IncorporatedGroup PAC ID 6406171461, 27 clinicians

Practice addresses (Care Compare)

10904 Reagan St
Los Alamitos, CA 90720-2435
Phone (562) 596-3140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lgibson Anesthesia Inc CurrentSince May 12, 2019 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 26, 2024 Accepting new patients
Crystal Anesthesiology Inc Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Talbert Anesthesia Group Incorporated Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
Liberty Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

7677 Center Ave
Ste 104
Huntington Beach, CA 92647
Phone (714) 881-8700

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

10904 Reagan St
Los Alamitos, CA 90720
Phone (562) 592-3140

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

20360 SW Birch St
Ste 110
Newport Beach, CA 92660
Phone (562) 292-8705

681 S Parker St
Orange, CA 92868
Phone (714) 744-0439

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Organizations & group practices 6

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1093806853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 ALONDRA BLVD",
            "address_2": "SUITE C",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705820",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE",
            "address_2": "SUITE 198",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481340",
            "telephone_number": "626-965-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XUE",
        "first_name": "JINGJIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07425000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9064303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

Verify at the official NPI Registry.