Active NPI
Julia Yunha Jeong, DMD
- Endodontics
- Santa Clarita, CA
National Provider Identifier
1699561738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 111422
- Practice address
- 28212 Kelly Johnson Pkwy Ste 290
Santa Clarita, CA 91355-5093 - Phone
- (661) 254-1924
- NPI assigned
- Apr 16, 2025
- Last updated
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111422 | CA | |
| Endodontics | 1223E0200X | 111422 | CA | Primary |
Addresses
Primary practice location
28212 Kelly Johnson Pkwy Ste 290
Santa Clarita, CA 91355-5093
Mailing address
4850 Hollywood Blvd Apt 202
Los Angeles, CA 90027-3264
Phone (607) 882-0983
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111422 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Han and Jason Gim, a General Partnership | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Han and Gim Endodontics
- Endodontics
- Valencia, CA
- NPI 1396136602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1699561738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 HOLLYWOOD BLVD APT 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900273264",
"telephone_number": "607-882-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 290",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913555093",
"telephone_number": "661-254-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEONG",
"first_name": "JULIA",
"middle_name": "YUNHA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-16",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111422",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "111422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.