Sebastian Taejun Jeon

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

6768 Edinboro St
Chino, CA 91710-1309

Phone

(213) 500-2188

NPI assigned

Jul 17, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1619656758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6768 EDINBORO ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101309",
            "telephone_number": "213-500-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6768 EDINBORO ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101309",
            "telephone_number": "213-500-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "SEBASTIAN",
        "middle_name": "TAEJUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Jialin Ge M.D., Inc.
• Jeffrey R Unger, M.D. Inc
• Daniel Jenkins, D.D.S.
• Nicole Louise Jensen, PSY.D.
• Kyle Y Jeon, DDS
• Jessica Chong DPM MPH Inc
• Rachel Jesunathadas, MD
• JH Chun II DDS. Inc.
• Maria Carrillo Jimenez
• Vanessa Maria Jimenez, MACCCSLP

• Athletic Trainer in Chino, CA
• Providers in Chino, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.