Individual provider Active NPI

Jason Ngan, DC

  • Chiropractor
  • Monterey Park, CA
National Provider Identifier
1194431379
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36559 Issued in CA
Practice address
880 S Atlantic Blvd Ste 208
Monterey Park, CA 91754-4775
Phone
(626) 592-3880
NPI assigned
Jan 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36559 CA Primary

Addresses

Primary practice location

880 S Atlantic Blvd Ste 208
Monterey Park, CA 91754-4775

Mailing address

1440 Dunswell Ave
Hacienda HTS, CA 91745-2723
Phone (626) 592-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317001971 CA Practitioner - Chiropractic 2062885312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 E Emerson Ave
Monterey Park, CA 91755-1709
Phone (626) 572-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36559CAMDClinical Psychologist
DC36559CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Ngan Chiropractic Corporation Chiropractor CurrentSince Feb 20, 2023 Accepting new patients

Locations

880 S Atlantic Blvd
Ste 208
Monterey Park, CA 91754
Phone (626) 289-9478

112 E Emerson Ave
Monterey Park, CA 91755
Phone (626) 572-8002

Organizations & group practices 1

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1194431379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 DUNSWELL AVE",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917452723",
            "telephone_number": "626-592-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD STE 208",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544775",
            "telephone_number": "626-592-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAN",
        "first_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.