Organization Active NPI

Jeffrey Tan Ho, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Garden Grove, CA
National Provider Identifier
1194751750
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A8218 Issued in CA
Legal business name
JEFFREY TAN HO, INC.
Practice address
9191 Westminster Ave
Suite 207
Garden Grove, CA 92844-2751
Phone
(714) 894-6600
Fax
(714) 583-6367
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Jeffrey Tan Ho, D.O.NPI 1316986045
Title
Sole Owner
Phone
(714) 894-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 20A8218 CA Primary

Addresses

Primary practice location

9191 Westminster Ave
Suite 207
Garden Grove, CA 92844-2751

Mailing address

3151 Airway Ave
Building G-1
Costa Mesa, CA 92626-4607
Phone (714) 434-8663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070123000344 CA Part B Supplier - Clinic/Group Practice 8729089487 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2050630Jeffrey Tan Ho Inc9191 Westminster Ave Ste 207, Garden Grove, CA 92844Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

9191 Westminster Ave
Ste 209
Garden Grove, CA 92844
Phone (714) 786-5794

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1194751750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE",
            "address_2": "BUILDING G-1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264607",
            "telephone_number": "714-434-8663",
            "fax_number": "714-549-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 WESTMINSTER AVE",
            "address_2": "SUITE 207",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442751",
            "telephone_number": "714-894-6600",
            "fax_number": "714-583-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY TAN HO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "714-894-6600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A8218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.