Individual provider Active NPI

Jenny Qian Dai-Ju, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Orange, CA
National Provider Identifier
1336497775
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A125112 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 880-7812
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A125112 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A125112 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986

Other practice location 1

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1728

Other practice location 2

2251 W Rosecrans Ave Ste 18-21
Compton, CA 90222
Phone (424) 529-6755

Other practice location 3

2251 W Rosecrans Ave Ste 18-21
Compton, CA 90222
Phone (424) 529-6755

Other names 1

  • Ms. Qian Dai Former name

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
I20160830002992 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 8820384837 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125112CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 27, 2017 Accepting new patients
Martin Luther King Jr Community Medical Foundation Internal Medicine Current Accepting new patients
UC Regents CurrentSince Mar 1, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 27, 2017 Accepting new patients
Martin Luther King Jr Community Medical Foundation Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince May 1, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
UC Regents Current Accepting new patients
UC Regents Internal Medicine Past Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2251 W Rosecrans Ave
Ste 1821
Compton, CA 90222
Phone (424) 338-8675

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

135 E Compton Blvd
Compton, CA 90220
Phone (424) 296-3800

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1535 W Merced Ave
Ste 301
West Covina, CA 91790
Phone (626) 331-6411

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1336497775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-880-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "92324",
            "country_code": "US",
            "telephone_number": "909-580-1728",
            "fax_number": "909-580-1727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2251 W Rosecrans Ave Ste 18-21",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "90222",
            "country_code": "US",
            "telephone_number": "424-529-6755",
            "fax_number": "424-338-8984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2251 W Rosecrans Ave Ste 18-21",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "90222",
            "country_code": "US",
            "telephone_number": "424-529-6755",
            "fax_number": "424-338-8984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAI-JU",
        "first_name": "JENNY",
        "middle_name": "QIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125112",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A125112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QIAN",
            "last_name": "DAI",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.