Edward H Jeon, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

A24941 Issued in CA

Practice address

23101 Sherman PL
Suite 405
West Hills, CA 91307-2003

Phone

(818) 347-3287

Fax

(818) 347-2472

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Edward H. Jeon, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • West Hills, CA
  • NPI 1891981098
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1386667129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL",
            "address_2": "SUITE 405",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072003",
            "telephone_number": "818-347-3287",
            "fax_number": "818-347-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL",
            "address_2": "SUITE 405",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072003",
            "telephone_number": "818-347-3287",
            "fax_number": "818-347-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "EDWARD",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "A24941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A249410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A249410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared D. Ament, MD, MPH, PC
• Kev'Ann Denise Jarman, FNP
• Brenda Jose Javier, MD
• Jenny Q Zhu MD Inc
• Sharon Jensen-Cody, PHD
• Jerome Dickman, M.D., Inc
• Anila Ismail Jibril
• JJ&R Emergency Medical Group of California, Inc.
• John Geary Inc.
• Paul Bennett Johnson, M.D.

• All providers in West Hills, CA
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.