Active NPI
James Russell Hongola, MD
- Surgery Physician
- Modesto, CA
National Provider Identifier
1235159054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A24239
- Practice address
- 830 Scenic Dr
Suite B
Modesto, CA 95350-6131 - Phone
- (209) 558-7000
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A24239 | CA | Primary |
Addresses
Primary practice location
830 Scenic Dr
Suite B
Modesto, CA 95350-6131
Mailing address
830 Scenic Dr
Modesto, CA 95350-6131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A242390 | Other | MEDICAL PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24239 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1235159054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 SCENIC DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 SCENIC DR",
"address_2": "SUITE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506131",
"telephone_number": "209-558-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONGOLA",
"first_name": "JAMES",
"middle_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A24239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER NUMBER",
"identifier": "00A242390",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.