Individual provider Active NPI

Albert Jeon, MD

  • Anesthesiology Physician
  • San Jose, CA
National Provider Identifier
1831726777
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A188680 Issued in CA
Practice address
2425 Samaritan Dr
San Jose, CA 95124-3908
Phone
(408) 559-2011
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A188680 CA Primary

Addresses

Primary practice location

2425 Samaritan Dr
San Jose, CA 95124-3908

Mailing address

15466 Los Gatos Blvd # 273
Los Gatos, CA 95032-2542

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930000791 CA Practitioner - Anesthesiology 9537690763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A188680CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G2 Anesthesia PC Anesthesiology CurrentSince Sep 2, 2024 Accepting new patients

Locations

3351 El Camino Real
Ste 220
Atherton, CA 94027
Phone (650) 363-2800

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

3803 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-7177

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

2605 S Winchester Blvd
Campbell, CA 95008
Phone (401) 341-8600

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

15780 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5000

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

15195 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0454

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

2110 Forest Ave
Ste 2
San Jose, CA 95128
Phone (408) 297-3432

2400 Samaritan Dr
Ste 206
San Jose, CA 95124
Phone (408) 369-9300

2410 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 369-9798

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 1

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1831726777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD # 273",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243908",
            "telephone_number": "408-559-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A188680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.