Individual provider Active NPI

Dorothy Hong, MD

  • Obstetrics & Gynecology Physician
  • San Gabriel, CA
National Provider Identifier
1548411713
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A97554 Issued in CA
Practice address
207 S Santa Anita Ave Ste 335
San Gabriel, CA 91776-1160
Phone
(626) 576-1214
Fax
(626) 458-3387
NPI assigned
Oct 7, 2008
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A97554 CA Primary

Addresses

Primary practice location

207 S Santa Anita Ave Ste 335
San Gabriel, CA 91776-1160

Mailing address

1240 N Mission Rd
Los Angeles, CA 90033-1019
Phone (323) 226-4667

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
I20091031000049 CA Practitioner - Obstetrics/Gynecology 2264579861 Reassigns benefits to 1 organization
Practice locations: San Gabriel, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Madre Community Medical Group IncGroup PAC ID 8729049663, 5 clinicians

Practice addresses (Care Compare)

147 W Sierra Madre Blvd
Sierra Madre, CA 91024-2460
Phone (626) 355-3443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Madre Community Medical Group, Inc CurrentSince Sep 1, 2009 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Saba Haq Above Medical PC Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

147 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 355-0960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dorothy.hong.p19@direct.healthcarepartners.nextgenshare.com
  • Direct secure messaging: test.test.p19@direct.healthcarepartners.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1548411713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331019",
            "telephone_number": "323-226-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA AVE STE 335",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761160",
            "telephone_number": "626-576-1214",
            "fax_number": "626-458-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A97554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.