Jing Xu DDS Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

56801 Issued in CA

Legal business name

JING XU DDS INC.

Practice address

1062 E Las Tunas Dr
San Gabriel, CA 91776-1633

Phone

(626) 282-2068

Fax

(626) 293-8819

NPI assigned

Jun 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jing Xu, DDSNPI 1770695447

Title

President

Phone

(626) 826-8235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jing Xu, DDS

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1770695447
  Medicare reassignment Authorized official
• Jia Mei Li, DDS

  • Dentist
  • San Gabriel, CA
  • NPI 1285513515
  NPD
• Robert Zhihang Li, DDS

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1225861933
  NPD

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1437479060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 E LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761633",
            "telephone_number": "626-282-2068",
            "fax_number": "626-293-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761633",
            "telephone_number": "626-282-2068",
            "fax_number": "626-293-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JING XU DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-05",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-826-8235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "56801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fanfan Jiang
• Longnu Jiang
• Yi Jiang, MD
• Jichang Li, M.D., a Medical Corporation
• Rose Angeles Jimenez-Jones, M.S.
• JJ Home Health Agency LLC
• Jodi Aragona
• John C Lee, MD Inc
• Jonathan D Kim DPM PC
• Elaine Shea Jong, PPS

• Health Maintenance Organization in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.