Active NPI
Jimmy Ho Hwang, M.D.
- Rheumatology Physician
- Northridge, CA
National Provider Identifier
1316965494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A38692
- Practice address
- 18251 Roscoe Blvd
Suite 102
Northridge, CA 91325-4200 - Phone
- (818) 885-0588
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | A38692 | CA | Primary |
Addresses
Primary practice location
18251 Roscoe Blvd
Suite 102
Northridge, CA 91325-4200
Mailing address
19943 Lassen St
Chatsworth, CA 91311-5539
Phone (818) 885-0588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A386920, 00A386921 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101013000811 | CA | Practitioner - Rheumatology | 5698967388 | Practice locations: Monterey Park, CA; Northridge, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18251 Roscoe Blvd
Suite 104
Northridge, CA 91325-4252
Phone (818) 885-0588
223 N Garfield Ave
Monterey Park, CA 91754-1700
Phone (626) 571-9806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38692 | CA | MD | General Practice Dentistry |
| A38692 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Community Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316965494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19943 LASSEN ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913115539",
"telephone_number": "818-885-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18251 ROSCOE BLVD",
"address_2": "SUITE 102",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254200",
"telephone_number": "818-885-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "JIMMY",
"middle_name": "HO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A38692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A386920, 00A386921",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.