Individual provider Active NPI

Jiunn Chyong Perng, M.D.

  • Cardiovascular Disease Physician
  • Oxnard, CA
National Provider Identifier
1659390847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A32126 Issued in CA
Practice address
3125 Saviers Rd
Oxnard, CA 93033-5310
Phone
(805) 483-0131
Fax
(805) 483-0132
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A32126 CA Primary

Addresses

Primary practice location

3125 Saviers Rd
Oxnard, CA 93033-5310

Mailing address

3125 Saviers Rd
Oxnard, CA 93033-5310
Phone (805) 483-0131

Other identifiers 1

IdentifierTypeStateIssuer
00A321260MedicaidCA

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
I20120228000538 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6305004946 Practice locations: Oxnard, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32126CAMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659390847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 SAVIERS RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930335310",
            "telephone_number": "805-483-0131",
            "fax_number": "805-483-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 SAVIERS RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930335310",
            "telephone_number": "805-483-0131",
            "fax_number": "805-483-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNG",
        "first_name": "JIUNN",
        "middle_name": "CHYONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A32126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A321260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.