Hong-an Jan MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A31743 Issued in CA

Legal business name

HONG-AN JAN MD INC

Practice address

12555 Garden Grove Blvd
#202
Garden Grove, CA 92843-1902

Phone

(714) 538-1288

NPI assigned

Mar 5, 2012

Last updated

Oct 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hong-an Jan, M.D.NPI 1255332979

Title

President

Phone

(714) 538-1288

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hong-an Jan, M.D.

  • Specialist
  • Garden Grove, CA
  • NPI 1255332979
  Medicare reassignment Authorized official
• Ravinder P Singh, MD

  • Psychiatry Physician
  • Garden Grove, CA
  • NPI 1972560605
  NPD (past)

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1841564143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD",
            "address_2": "#202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431902",
            "telephone_number": "714-538-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD",
            "address_2": "#202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431902",
            "telephone_number": "714-538-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG-AN JAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "HONG-AN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-538-1288",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A31743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A317430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Holmes
• Marissa Holtorf
• Hong S. Kim MD, Inc
• Hong S. Kim, M.D., Inc
• Hong S. Kim, MD, Inc
• Cindy Nguyen Hong, FNP-C
• Deborah Hong
• Hee Ok Hong
• James Jong-Ha Hong, D.D.S.
• Shieun Hong

• Medical Specialty Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.