Jason J Pang MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A69884 Issued in CA

Legal business name

JASON J PANG MD INC

Practice address

11039 Acacia Pkwy
Garden Grove, CA 92840-5126

Phone

(714) 534-3366

Fax

(714) 534-3352

NPI assigned

May 9, 2008

Last updated

Mar 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason J Pang, MDNPI 1679644181

Title

President

Phone

(949) 206-0360

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Pang, M.D.

  • Nephrology Physician
  • Laguna Hills, CA
  • NPI 1679644181
  Medicare reassignment NPD Authorized official
• Robert Sung Chung, M.D.

  • Personal Emergency Response Attendant
  • Garden Grove, CA
  • NPI 1316022569
  NPD (past)
• Stephen S Park, MD

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1952359002
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1336316264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926543428",
            "telephone_number": "949-206-0360",
            "fax_number": "949-951-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11039 ACACIA PKWY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405126",
            "telephone_number": "714-534-3366",
            "fax_number": "714-534-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON J PANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-206-0360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A69884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A69884",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet C Conney, MD, Inc.
• Daye Jang
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• Jenyfer Yasaret Jarquin
• Jason J Chiu MD Inc
• Alanna Lynn Jason
• Destiny Cheyann Jasso
• Jean G. Tran, MD, PC
• Jeffrey Tan Ho, Inc.
• Katelyn Trista Jefri

• Nephrology Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.