Active NPI
Jason Ling, MD
- Endocrinology, Diabetes & Metabolism Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A156260
- Practice address
- 100 E Valencia Mesa Dr Ste 105
Fullerton, CA 92835-3816 - Phone
- (714) 446-5640
- NPI assigned
- Apr 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A156260 | CA | Primary |
Addresses
Primary practice location
100 E Valencia Mesa Dr Ste 105
Fullerton, CA 92835-3816
Mailing address
100 E Valencia Mesa Dr Ste 105
Fullerton, CA 92835-3816
Phone (714) 446-5640
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jling1373006@oc.providencedirect.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006
1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone (909) 860-1144
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
200 W Ctr St Promenade
Anaheim, CA 92805-3960
2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175
253 S Diamond Bar Blvd
Diamond Bar, CA 91765-1606
Phone (909) 860-1144
8078 E Santa Ana Canyon Rd
Anaheim, CA 92808-1108
Phone (714) 974-2900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156260 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1609925957
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1154664597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR STE 105",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353816",
"telephone_number": "714-446-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR STE 105",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353816",
"telephone_number": "714-446-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LING",
"first_name": "JASON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A156260",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jling1373006@oc.providencedirect.org",
"affiliation": "N",
"address_1": "100 E Valencia Mesa Dr Ste 105",
"city": "Fullerton",
"state": "CA",
"country_code": "US",
"postal_code": "928353816",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.