Individual provider Active NPI

Jeanne Hong, M.D.

  • Child & Adolescent Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1568678605
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A95624 Issued in CA
Practice address
6535 Alvarado Rd
San Diego, CA 92120-5002
Phone
(619) 229-3700
NPI assigned
May 15, 2007
Last updated
Oct 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A95624 CA Primary

Addresses

Primary practice location

6535 Alvarado Rd
San Diego, CA 92120-5002

Mailing address

1551 4TH Ave Unit 712
San Diego, CA 92101-3152
Phone (213) 210-3323

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
I20090908000048 CA Practitioner - Psychiatry 3971658477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
CaminarGroup PAC ID 0143374454, 7 clinicians

Practice addresses (Care Compare)

2625 Zanker Rd
Suite 200
San Jose, CA 95134-2130
Phone (408) 396-7969

2635 Zanker Rd
San Jose, CA 95134-2107
Phone (408) 292-9353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95624CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Santa Clara County Current Accepting new patients
Caminar CurrentSince Apr 1, 2020 Accepting new patients
Caminar Current Accepting new patients
Catholic Charities of Santa Clara County CurrentSince Dec 23, 2023 Accepting new patients
Caminar Past Accepting new patients
Caminar Past Accepting new patients

Locations

375 Cambridge Ave
Palo Alto, CA 94306
Phone (650) 326-6576

2226 N 1st St
San Jose, CA 95131
Phone (408) 297-2604

2625 Zanker Rd
San Jose, CA 95134
Phone (408) 325-5120

2625 Zanker Rd
Ste 200
San Jose, CA 95134
Phone (408) 396-7969

2635 Zanker Rd
San Jose, CA 95134
Phone (408) 841-4102

950 W Julian St
San Jose, CA 95126
Phone (408) 282-9353

2600 S El Camino Real
Ste 200
San Mateo, CA 94403
Phone (650) 372-4080

411 Borel Ave
Ste 101
San Mateo, CA 94402
Phone (650) 372-4080

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1568678605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 4TH AVE UNIT 712",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013152",
            "telephone_number": "213-210-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 ALVARADO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205002",
            "telephone_number": "619-229-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A95624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.