Active NPI
Joyce Jung Hong, MD
- Pediatrics Physician
- Pomona, CA
National Provider Identifier
1831119155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C39022
- Practice address
- 3530 W Pomona Blvd
Pomona, CA 91769-0100 - Phone
- (909) 595-1221
- Fax
- (909) 598-4352
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C39022 | CA | Primary |
Addresses
Primary practice location
3530 W Pomona Blvd
Pomona, CA 91769-0100
Mailing address
1600 9TH St
RM 205 Mailstop 2-3
Sacramento, CA 95814-6414
Phone (916) 654-2431
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C39022 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of California - Department of Developmental Services | 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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1093085565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831119155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 9TH ST",
"address_2": "RM 205 MAILSTOP 2-3",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958146414",
"telephone_number": "916-654-2431",
"fax_number": "916-654-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 W POMONA BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917690100",
"telephone_number": "909-595-1221",
"fax_number": "909-598-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JOYCE",
"middle_name": "JUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C39022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.