Individual provider Active NPI

Taegun Jin, DO

  • Physical Medicine & Rehabilitation Physician
  • Carlsbad, CA
National Provider Identifier
1336778398
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A22888 Issued in CA
Practice address
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone
(760) 631-3000
Fax
(760) 270-9534
NPI assigned
Apr 2, 2020
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A22888 CA Primary

Addresses

Primary practice location

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219

Mailing address

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone (760) 631-3000

Other practice location 1

6655 Alvarado Rd Ste 2308
San Diego, CA 92120-5208
Phone (760) 631-3000

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
I20250213003755 CA Practitioner - Physical Medicine and Rehabilitation 1052718137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6010 Hidden Valley Rd
Suite 200
Carlsbad, CA 92011-4219
Phone (760) 631-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22888CAMDPhysical Medicine & Rehabilitation Physician
22888CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North County Neurology Associates Medical Group CurrentSince Feb 6, 2025 Accepting new patients

Locations

6010 Hidden Valley Rd
Ste 200
Carlsbad, CA 92011

9850 Genesee Ave
Ste 530
La Jolla, CA 92037
Phone (858) 558-0677

3907 Waring Rd
Ste 2
Oceanside, CA 92056
Phone (760) 941-0221

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

6699 Alvarado Rd
Ste 2308
San Diego, CA 92120
Phone (619) 462-9010

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1336778398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-631-3000",
            "fax_number": "760-270-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-631-3000",
            "fax_number": "760-270-9534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 Alvarado Rd Ste 2308",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205208",
            "country_code": "US",
            "telephone_number": "760-631-3000",
            "fax_number": "760-270-9534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIN",
        "first_name": "TAEGUN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A22888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.