Jae Y Hong M D a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A31851 Issued in CA

Legal business name

JAE Y HONG M D A PROFESSIONAL CORPORATION

Practice address

44301 Lorimer Ave
Lancaster, CA 93534-3700

Phone

(661) 940-1112

Fax

(661) 723-6402

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

Jae Y Hong, M.D.

Title

Anesthesiology

Phone

(661) 729-6854

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609007806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2858",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935392858",
            "telephone_number": "661-729-6854",
            "fax_number": "661-729-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44301 LORIMER AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343700",
            "telephone_number": "661-940-1112",
            "fax_number": "661-723-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE Y HONG M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ANESTHESIOLOGY",
        "authorized_official_telephone_number": "661-729-6854",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A318510",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A318510",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050066604",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquel G. Jackson, MFT INTERN
• Robert M Jackson, M.D.
• Susan Michelle Jackson
• Victoria Lynn Jackson
• Lauren Jane Jacobs, BCBA
• Ali E Jafferi, M.D.
• Ana Karen Jaimes Aragon
• Indu Jain, M.D.
• James a. Sweeney, D.D.S., Inc.
• Aquilah James, LCSW

• Specialist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.