Individual provider Active NPI

Helen Jeong

  • Family Medicine Physician
  • Monterey, CA
National Provider Identifier
1114134699
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18838 Issued in CA
Practice address
501 Lighthouse Ave
Monterey, CA 93940-1439
Phone
(831) 649-0770
NPI assigned
May 16, 2007
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18838 CA Primary

Addresses

Primary practice location

501 Lighthouse Ave
Monterey, CA 93940-1439

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-0770

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
I20220526002356 CA Practitioner - Family Practice 2668538448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors on Duty Medical Group, IncGroup PAC ID 2466366703, 64 clinicians

Practice addresses (Care Compare)

501 Lighthouse Ave
Monterey, CA 93940-1439
Phone (831) 649-0770

Merit-based Incentive Payment System (MIPS)

Final score
85.47 of 100Reported as group
Quality
67.19
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18838CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors on Duty Medical Group, Inc CurrentSince Feb 16, 2022 Accepting new patients
Seaside Doctors on Duty PastSince Feb 16, 2022 Accepting new patients
Marina Doctors on Duty Past Accepting new patients
Monterey Doctors on Duty PastSince Jan 17, 2022 Accepting new patients

Locations

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1513 Fremont Blvd
#E1
Seaside, CA 93955
Phone (831) 889-1910

Interoperability endpoints

  • Direct secure messaging: hjeong16355@direct.svmh.com
  • Direct secure messaging: hjeong21546@direct.edward.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1114134699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-649-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LIGHTHOUSE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401439",
            "telephone_number": "831-649-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "HELEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "18838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.