Active NPI
Amy Liu Jeong, PA-C
- Physician Assistant
- Newport Beach, CA
National Provider Identifier
1467909564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 61356
- Practice address
- 1 Hoag Dr BLDG 31
Newport Beach, CA 92663-4162 - Phone
- (949) 764-8258
- Fax
- (949) 764-1493
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020178 | NY | |
| Physician Assistant | 363A00000X | 61356 | CA | Primary |
Addresses
Primary practice location
1 Hoag Dr BLDG 31
Newport Beach, CA 92663-4162
Mailing address
1 Hoag Dr BLDG 31
Newport Beach, CA 92663-4162
Phone (949) 764-8258
Other practice location 1
100 Port Washington Blvd
Roslyn, NY 11576-1353
Phone (516) 562-6000
Other practice location 2
101 The City Dr S
Orange, CA 92868-3201
Phone (800) 465-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020178 | NY | MD | Occupational Therapist |
| 61356 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
dba Regents of the University of California
- Surgery Physician
- Orange, CA
- NPI 1407806904
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1467909564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOAG DR BLDG 31",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634162",
"telephone_number": "949-764-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOAG DR BLDG 31",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634162",
"telephone_number": "949-764-8258",
"fax_number": "949-764-1493"
}
],
"practiceLocations": [
{
"address_1": "100 Port Washington Blvd",
"address_purpose": "LOCATION",
"city": "Roslyn",
"state": "NY",
"postal_code": "115761353",
"country_code": "US",
"telephone_number": "516-562-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 The City Dr S",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "800-465-3203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEONG",
"first_name": "AMY",
"middle_name": "LIU",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020178",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "61356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.