Individual provider Active NPI

Jiah Jang, D.O.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1477978328
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A17179 Issued in CA
Practice address
2727 W Olympic Blvd Ste 210
Los Angeles, CA 90006-2640
Phone
(213) 674-7517
Fax
(877) 347-1457
NPI assigned
Mar 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A17179 CA Primary

Addresses

Primary practice location

2727 W Olympic Blvd Ste 210
Los Angeles, CA 90006-2640

Mailing address

2727 W Olympic Blvd Ste 210
Los Angeles, CA 90006-2640
Phone (213) 674-7517

Other practice location 1

4190 City Ave
Philadelphia, PA 19131-1626
Phone (213) 235-7778

Other practice location 2

637 Lucas Ave Ste 101
Los Angeles, CA 90017-1997
Phone (213) 674-7517

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jiah.Jang@208698206519300.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200415001066 CA Practitioner - General Surgery 0840572384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2727 W Olympic Blvd
Suite 210
Los Angeles, CA 90006-2640
Phone (213) 674-7517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)34
Mastectomy21
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A17179CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jiah Jang DO Inc CurrentSince Jan 1, 2020 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

637 Lucas Ave
Ste 101
Los Angeles, CA 90017
Phone (213) 977-2280

2727 W Olympic Blvd
Ste 210
Los Angeles, CA 90006
Phone (213) 674-7517

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jiah.jang@208698206519300.direct.elationemr.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1393718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1477978328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062640",
            "telephone_number": "213-674-7517",
            "fax_number": "877-347-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062640",
            "telephone_number": "213-674-7517",
            "fax_number": "877-347-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4190 City Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311626",
            "country_code": "US",
            "telephone_number": "213-235-7778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "637 Lucas Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171997",
            "country_code": "US",
            "telephone_number": "213-674-7517",
            "fax_number": "877-347-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "JIAH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-02",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A17179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jiah.Jang@208698206519300.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 W Olympic Blvd Ste 210",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900062640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.