Individual provider Active NPI

Timothy Bock Jang, MD

  • Emergency Medicine Physician
  • Torrance, CA
National Provider Identifier
1487609707
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2002023327 Issued in MO
Practice address
1000 W Carson St
Torrance, CA 90502-2004
Phone
(310) 222-3500
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2002023327 MO Primary
Emergency Medicine Physician 207P00000X A83407 CA

Addresses

Primary practice location

1000 W Carson St
Torrance, CA 90502-2004

Mailing address

1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-3500

Other identifiers 2

IdentifierTypeStateIssuer
549918730MedicaidIL
900561735MedicaidMO

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
I20050217000981 CA Practitioner - Emergency Medicine 9234022930 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, San Diego School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Emergency Medical GroupGroup PAC ID 4688097066, 24 clinicians

Practice addresses (Care Compare)

1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 514-5350

Hospital & facility affiliations

  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376
  • Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.25
Promoting interoperability
100
Improvement activities
40
Cost
79.74

Merit-based Incentive Payment System (MIPS)

Final score
95.31 of 100Reported as group
Quality
83.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83407CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Nov 28, 2008 Accepting new patients
County of Los Angeles CurrentSince Nov 28, 2008 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Oct 6, 2020 Accepting new patients
Stephen R Shea, M.D., Inc Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 6, 2020 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Regents of the Univ of Ca Emer Med Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Southern California Emergency Medical Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Stephen R. Shea, M.D., Inc. Emergency Medicine CurrentSince Sep 17, 2004 Accepting new patients
Mercy Hospital South Emergency Medicine Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Dignity Health Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
SLH Vista, Inc. Emergency Medicine Past Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients
SLH Vista, Inc. Past Accepting new patients
UCLA Medical Group Emergency Medicine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

File 55675
Los Angeles, CA 90074

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Interoperability endpoints

  • Direct secure messaging: tjang37887@direct.uclahealth.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1487609707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "TIMOTHY",
        "middle_name": "BOCK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2002023327",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A83407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549918730",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900561735",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.