Organization Active NPI

Yin-Jia Gong Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • Santa Ana, CA
National Provider Identifier
1275959074
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A56519 Issued in CA
Legal business name
YIN-JIA GONG MEDICAL CORPORATION
Practice address
1520 Brookhollow Dr Ste 36
Santa Ana, CA 92705-5427
Phone
(714) 881-7081
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Dr. Yinjia Rose Gong, MDNPI 1588696637
Title
Ceo
Phone
(714) 881-7081

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: 193400000X SINGLE SPECIALTY GROUP 208100000X A56519 CA Primary

Addresses

Primary practice location

1520 Brookhollow Dr Ste 36
Santa Ana, CA 92705-5427

Mailing address

1520 Brookhollow Dr Ste 36
Santa Ana, CA 92705-5427
Phone (714) 881-7081

National Provider Directory

National Provider Directory

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": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1275959074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 BROOKHOLLOW DR STE 36",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055427",
            "telephone_number": "714-881-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BROOKHOLLOW DR STE 36",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055427",
            "telephone_number": "714-881-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIN-JIA GONG MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "YINJIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-881-7081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A56519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.