Individual provider Active NPI

Jason Hwang, M.D.

  • Internal Medicine Physician
  • Sunnyvale, CA
National Provider Identifier
1669490926
Registry record updated May 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73310 Issued in CA
Practice address
412 Flora Vista Ave
Sunnyvale, CA 94086-6234
Phone
(408) 940-6001
Fax
(888) 768-6089
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2016

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220304 MA
Internal Medicine Physician 207R00000X A73310 CA Primary
Internal Medicine Physician 207R00000X 074485 GA
Internal Medicine Physician 207R00000X 4301104580 MI
Internal Medicine Physician 207R00000X 274755 NY
Internal Medicine Physician 207R00000X 35.123940 OH
Internal Medicine Physician 207R00000X MD451880 PA

Addresses

Primary practice location

412 Flora Vista Ave
Sunnyvale, CA 94086-6234

Mailing address

412 Flora Vista Ave
Sunnyvale, CA 94086-6234
Phone (408) 940-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
074485GAMDInternal Medicine Physician
220304MAMDInternal Medicine Physician
4301104580MIMDInternal Medicine Physician
274755NYMDInternal Medicine Physician
35.123940OHMDInternal Medicine Physician
MD451880PAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463875200000",
    "number": "1669490926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 FLORA VISTA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866234",
            "telephone_number": "408-940-6001",
            "fax_number": "888-768-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 FLORA VISTA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866234",
            "telephone_number": "408-940-6001",
            "fax_number": "888-768-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "220304",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73310",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "074485",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301104580",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "274755",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.123940",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD451880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2016; 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.