Active NPI
Yin-Jia Gong Medical Corporation
- Physical Medicine & Rehabilitation Physician
- Santa Ana, CA
National Provider Identifier
1275959074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A56519
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yinjia Rose Gong, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Santa Ana, CA
- NPI 1588696637
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.