NPIMap

Individual provider Active NPI

Jean F Luong, M.D

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1780615641
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A 48809 Issued in CA
Practice address
295 Oconnor Dr
San Jose, CA 95128-1624
Phone
(408) 279-8171
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A 48809 CA Primary

Addresses

Primary practice location

295 Oconnor Dr
San Jose, CA 95128-1624

Mailing address

295 Oconnor Dr
San Jose, CA 95128-1624
Phone (408) 279-8171

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ73614ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000187 CA Practitioner - Internal Medicine 0941478366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Avenue Medical Group IncGroup PAC ID 1951349182, 3 clinicians

Practice addresses (Care Compare)

295 Oconnor Dr
San Jose, CA 95128-1624
Phone (408) 279-8171

Hospital & facility affiliations

  • Sequoia Home Health Home health agency, Milpitas, CA, CCN 058496
  • Care Must Home health agency, San Jose, CA, CCN 059796
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as apm
Quality
74.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 48809CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Avenue Medical Group, Inc. Internal Medicine CurrentSince Jan 31, 1990 Accepting new patients
County of Santa Clara Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

295 Oconnor Dr
San Jose, CA 95128
Phone (408) 279-8171

2001 Winward Way
Ste 101
San Mateo, CA 94404
Phone (650) 288-0602

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jluong42049@santaclaravalley.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780615641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281624",
            "telephone_number": "408-279-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281624",
            "telephone_number": "408-279-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "JEAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 48809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ73614Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.