Active NPI
Jean Hyung Hwang, M.D.
- Pediatrics Physician
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 318779
- Practice address
- 2176 Salk Ave Ste 200
Carlsbad, CA 92008 - Phone
- (858) 927-5527
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A136813 | CA | |
| Pediatrics Physician | 208000000X | MD60865606 | WA | |
| Hospitalist Physician | 208M00000X | MD60865606 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 318779 | NY | Primary |
Addresses
Primary practice location
2176 Salk Ave Ste 200
Carlsbad, CA 92008
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 927-5527
Other practice location 1
2176 Salk Ave Ste 200
Carlsbad, CA 92008
Phone (858) 927-5527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136813 | CA | MD | Pediatrics Physician |
| 318779 | NY | MD | Pediatrics Physician |
| MD60865606 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Hospitalist | Current | Accepting new patients |
| Northern Westchester Hospital Association | Past | Accepting new patients |
Locations
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
300 Community Dr
Plandome, NY 11030
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jhwang67724@northwell.direct-ci.com
- jhwang299542@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1154766129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-927-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2176 SALK AVE STE 200",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92008",
"telephone_number": "858-927-5527"
}
],
"practiceLocations": [
{
"address_1": "2176 Salk Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "92008",
"country_code": "US",
"telephone_number": "858-927-5527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HWANG",
"first_name": "JEAN",
"middle_name": "HYUNG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A136813",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60865606",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD60865606",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "318779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.