Angela Jeung, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12749195-1204 Issued in UT

Practice address

292 S 1470 E Ste 200
St George, UT 84790-1764

Phone

(435) 688-0759

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Pinachos Other name

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Onehealth Inc

  • Internal Medicine Physician
  • Saint George, UT
  • NPI 1558567123
  Medicare reassignment NPD
• Tuttle Dermatology PC

  • Dermatology Physician
  • St George, UT
  • NPI 1598261869
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1366928855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 S 1470 E STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901764",
            "telephone_number": "435-688-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEUNG",
        "first_name": "ANGELA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "9268396",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "12749195-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PINACHOS",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Russell D. Jepson, D.C.
• Jerry D Twiggs MD PC
• Jerry Marsden MD a Professional Corporation
• Brayanna Jessop
• Tyson Jessop
• George Jeung, D.O.
• Mary I Jewell, MEDICAL ASSISTANT
• Xochitl Jimenez
• Jessica Jimerson
• JLD Counseling, PLLC

• Internal Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.