Individual provider Active NPI

Christopher Koon Sing Jong, M.D.

  • Internal Medicine Physician
  • South Pasadena, CA
National Provider Identifier
1336336700
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A94265 Issued in CA
Practice address
1616 Fair Oaks Ave
# 14
South Pasadena, CA 91030-4739
Phone
(626) 818-3112
NPI assigned
Oct 1, 2007
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A94265 CA Primary

Addresses

Primary practice location

1616 Fair Oaks Ave
# 14
South Pasadena, CA 91030-4739

Mailing address

1616 Fair Oaks Ave
# 14
South Pasadena, CA 91030-4739
Phone (626) 818-3112

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
I20240722003921 CA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8729147681 Practice locations: South Pasadena, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ambassadore Hospice Care, Inc. Current Accepting new patients
Vitas Health Services of California Inc Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ambassadore Hospice Care, Inc.Artesia, CA, CCN B51695 Hospice Contracted Managing Employee Feb 11, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1336336700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 FAIR OAKS AVE",
            "address_2": "# 14",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304739",
            "telephone_number": "626-818-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 FAIR OAKS AVE",
            "address_2": "# 14",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304739",
            "telephone_number": "626-818-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "KOON SING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.