Individual provider Active NPI

Jeffrey Tan Ho, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Garden Grove, CA
National Provider Identifier
1316986045
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
136129 Issued in CA
Practice address
9191 Westminster Ave
Suite 207
Garden Grove, CA 92844-2751
Phone
(714) 894-6600
Fax
(714) 583-6367
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 136129 CA Primary
Interventional Pain Medicine Physician 208VP0014X 20A8218 CA

Addresses

Primary practice location

9191 Westminster Ave
Suite 207
Garden Grove, CA 92844-2751

Mailing address

3151 Airway Ave
BLDG G-1
Costa Mesa, CA 92626
Phone (714) 434-8663

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000274 CA Practitioner - Physical Medicine and Rehabilitation 8123056496 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Occupational Medical Group IncGroup PAC ID 4183764574, 17 clinicians
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians
California Diagnostic Specialists IncGroup PAC ID 9234465006, 3 clinicians

Practice addresses (Care Compare)

11627 Telegraph Rd
Suite 105
Santa Fe Springs, CA 90670-6800
Phone (949) 955-0022

1225 W 190TH St
Suite 425
Gardena, CA 90248-4340
Phone (949) 955-0022

1321 W Garvey N Ave
West Covina, CA 91790-2242
Phone (949) 955-0022

1801 S la Cienega Blvd
Suite 203
Los Angeles, CA 90035-4659
Phone (949) 955-0022

1805 E Dyer Rd
Suite 110
Santa Ana, CA 92705-5742
Phone (949) 955-0022

1809 E Dyer Rd
Suite 311
Santa Ana, CA 92705-5740

1835 S la Cienega Blvd C
Los Angeles, CA 90035-4600
Phone (310) 287-3711

18531 Roscoe Blvd
Suite 215
Northridge, CA 91324-5975
Phone (818) 822-2228

18800 Delaware St
Suite 630
Huntington Beach, CA 92648-6099
Phone (855) 364-6281

4580 Pacific Blvd
Vernon, CA 90058-2208
Phone (855) 364-6281

5175 Overland Ave
Culver City, CA 90230-4913
Phone (855) 364-6281

5199 E Pacific Coast Hwy
Suite 304
Long Beach, CA 90804-3355
Phone (855) 364-6281

675 N Park Ave
Pomona, CA 91768-3622
Phone (855) 364-6281

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

8500 Wilshire Blvd
Suite 1018
Beverly Hills, CA 90211-3108
Phone (855) 364-6281

9191 Westminster Ave
Suite 209
Garden Grove, CA 92844-2751
Phone (714) 894-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
136129CAMDPhysical Medicine & Rehabilitation Physician
20A8218CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Diagnostic Specialists, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Family Choice Aco Inc CurrentSince Jan 1, 2022 Accepting new patients
Jeffrey Tan Ho, Inc. Physical Medicine & Rehabilitation CurrentSince Jun 15, 2006 Accepting new patients
Precision Occupational Medical Group, Inc. Physical Medicine & Rehabilitation CurrentSince Sep 28, 2015 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Interventional Pain Medicine Past Accepting new patients
Long Beach Memorial Medical Interventional Pain Medicine Past Accepting new patients

Locations

3151 Airway Ave
Ste G1
Costa Mesa, CA 92626
Phone (949) 706-5215

7774 Cherry Ave
Fontana, CA 92336
Phone (909) 355-1296

9191 Westminster Ave
Ste 207
Garden Grove, CA 92844
Phone (714) 786-5794

9191 Westminster Ave
Ste 209
Garden Grove, CA 92844
Phone (714) 786-5794

9191 Westminster Ave
#207
Garden Grove, CA 92844
Phone (714) 699-2050

701 E 28th St
Ste 116
Long Beach, CA 90806
Phone (562) 424-8111

3628 E Imperial Hwy
Ste 303
Lynwood, CA 90262
Phone (310) 900-7360

1809 E Dyer Rd
Ste 311
Santa Ana, CA 92705
Phone (949) 863-0022

1809 E Dyer Rd
Ste 313
Santa Ana, CA 92705
Phone (949) 975-1900

380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086

1321 W Garvey Ave N
West Covina, CA 91790
Phone (626) 337-6335

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1316986045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE",
            "address_2": "BLDG G-1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-434-8663",
            "fax_number": "714-549-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 WESTMINSTER AVE",
            "address_2": "SUITE 207",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442751",
            "telephone_number": "714-894-6600",
            "fax_number": "714-583-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "JEFFREY",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "136129",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A8218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.