Active NPI
Jong Chul Hong, M.D.
- Anesthesiology Physician
- Downey, CA
National Provider Identifier
1447264973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A34456
- Practice address
- 11500 Brookshire Ave
Downey, CA 90241-4917 - Phone
- (560) 904-5000
- Fax
- (560) 904-5140
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A34456 | CA | Primary |
Addresses
Primary practice location
11500 Brookshire Ave
Downey, CA 90241-4917
Mailing address
500 S Main St
1210
Orange, CA 92868-4507
Phone (714) 560-1580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A344561 | Medicaid | CA | |
| 00A344560 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447264973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S MAIN ST",
"address_2": "1210",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684507",
"telephone_number": "714-560-1580",
"fax_number": "714-560-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 BROOKSHIRE AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414917",
"telephone_number": "560-904-5000",
"fax_number": "560-904-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JONG",
"middle_name": "CHUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A34456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A344561",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A344560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.