Jack H Florin MD Inc

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14593 Issued in CA

Legal business name

JACK H FLORIN MD INC

Practice address

100 Laguna Rd
Suite 208
Fullerton, CA 92835-3633

Phone

(714) 738-0800

Fax

(714) 738-3758

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Karen L Young

Title

Administrator

Phone

(714) 738-0800

Specialties & licenses 3

Addresses

Other names 1

• Fullerton Neurology and Headache Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Jack Hugh Florin, MD

  • Neurology Physician
  • Fullerton, CA
  • NPI 1912990656
  Medicare reassignment NPD
• Allison Leigh Kennedy, PA-C

  • Physician Assistant
  • Fullerton, CA
  • NPI 1265840987
  Medicare reassignment
• Diana Londono

  • Neurology Physician
  • La Quinta, CA
  • NPI 1801235700
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235218488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAGUNA RD",
            "address_2": "#208",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353633",
            "telephone_number": "714-738-0800",
            "fax_number": "714-738-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAGUNA RD",
            "address_2": "SUITE 208",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353633",
            "telephone_number": "714-738-0800",
            "fax_number": "714-738-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK H FLORIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-738-0800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G26561",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "PA14593",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fullerton Neurology and Headache Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Don Keneda Izumi
• J Kim Chiropractic Corporation
• J.J.Kim Acupuncture Clinic PC
• Jad Jabado
• Foujan Jabbarzadehkhoei
• Bradley A Jackson, M.D.
• Kayla Jackson
• Kevin Jackson, PA-C
• Zippora Daffin Jackson, GED
• Tanna Marie Jacob, MA MFTA

• Medical Physician Assistant in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.