Jimmy Minh Hoang

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57480 Issued in CA

Practice address

520 E Foothill Blvd Ste C
Pomona, CA 91767-1200

Phone

(909) 398-4895

NPI assigned

Nov 2, 2018

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chaparral Medical Group IncGroup PAC ID 6800709403, 66 clinicians

Harish Yalamanchili MD IncGroup PAC ID 2062748585, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Chaparral Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1477733624
  Medicare reassignment Care Compare group
• Harish Yalamanchili MD Inc

  • Surgery Physician
  • Corona del Mar, CA
  • NPI 1376102152
  Medicare reassignment Care Compare group
• Chaparral Medical Group Inc.

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1639869605
  NPD
• Chaparral Medical Group, Inc.

  • General Practice Physician
  • Pomona, CA
  • NPI 1437111028

  Internal Medicine

  NPD
• Chaparral Medical Group Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Pomona, CA
  • NPI 1114989241

  Internal Medicine

  NPD (past)
• Columbia Medical Clinic PC

  dba Columbia Clinic PC

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1184785842
  NPD (past)
• Columbia Pharmacy LLC

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1104121938
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1457829970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 PALOS VERDES DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042477",
            "telephone_number": "503-453-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E FOOTHILL BLVD STE C",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671200",
            "telephone_number": "909-398-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "JIMMY",
        "middle_name": "MINH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ho, OTR/L
• Vy Ngoc Tuong Ho
• Ashton Hoang
• Cynthia Hoang, PA-C
• Huy Hoang
• John Long Hoang, PA-C
• Lynn Hoang
• Phu Hoang, PA-C
• Taylor Hoang
• Vivian Le Hoang

• Physician Assistant in Pomona, CA
• Providers in Pomona, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.