Active NPI
Juk L. Ting, D.O.
- Emergency Medicine Physician
- Van Nuys, CA
National Provider Identifier
1699713974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A7323
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4542 - Phone
- (818) 902-2990
- Fax
- (818) 904-3793
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20A7323 | CA | Primary |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4542
Mailing address
2550 N Hollywood Way
Suite 209
Burbank, CA 91505-1055
Phone (818) 557-0135
Other practice location 1
1500 E Duarte Road
Duarte, CA 91010-3012
Phone (626) 256-4673
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A7323 | Other | CA | BLUE CROSS |
| 00AX73230 | Medicaid | CA | |
| 050359CG53273 | Other | CA | TULARE TRAILBLAZER |
| 00AX73230 | Other | CA | CALOPTIMA |
| 0020A73230 | Other | CA | BLUE SHIELD |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1920 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Department Physicians Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Premier Health Partners | Emergency Medicine | Past | Accepting new patients |
| Can Emergency Physicians Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Acute Care Specialists, Inc. | Emergency Medicine | Past | Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Past | Accepting new patients | |
| Jose Aguilar M.D. a, Medical Corporation | Past | Accepting new patients | |
| T & C Medical Group Inc | Past | Accepting new patients | |
| CGH Medical Center | Past | Accepting new patients | |
| Mid-Ohio Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Inphynet Primary Care Physicians Midwest, S.C. | Emergency Medicine | Past | Accepting new patients |
| Jose Aguilar M.D. a, Medical Corporation | Past | Accepting new patients |
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Internal Medicine Physician
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-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1760490924
-
- Emergency Medicine Physician
- Blythe, CA
- NPI 1609170232
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
-
- General Practice Physician
- Rowland Heights, CA
- NPI 1528649233
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1447294640
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Physician Assistant
- Fort Wayne, IN
- NPI 1528090610
Emergency Medicine
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1386691780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1699713974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 N HOLLYWOOD WAY",
"address_2": "SUITE 209",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051055",
"telephone_number": "818-557-0135",
"fax_number": "818-557-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-902-2990",
"fax_number": "818-904-3793"
}
],
"practiceLocations": [
{
"address_1": "1500 E Duarte Road",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-256-4673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TING",
"first_name": "JUK",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A7323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "20A7323",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX73230",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TULARE TRAILBLAZER",
"identifier": "050359CG53273",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA",
"identifier": "00AX73230",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0020A73230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.