Individual provider Active NPI

Hyejin Jae, M.D.

  • Family Medicine Physician
  • La Mirada, CA
National Provider Identifier
1851607253
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A124121 Issued in CA
Practice address
12675 La Mirada Blvd
Suite 201
La Mirada, CA 90638-2200
Phone
(562) 903-7339
Fax
(562) 944-8631
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A124121 CA Primary

Addresses

Primary practice location

12675 La Mirada Blvd
Suite 201
La Mirada, CA 90638-2200

Mailing address

12675 La Mirada Blvd
Suite 201
La Mirada, CA 90638-2200
Phone (562) 903-7339

Other names 1

  • Dr. Grace Jae Other name

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
I20140421001623 CA Practitioner - Family PracticePractitioner - Internal Medicine 8022246545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

6557 Greenleaf Ave
Whittier, CA 90601-4108

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124121CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Family Medicine Current Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Dec 10, 2013 Accepting new patients
Pih Health Physicians CurrentSince Dec 10, 2013 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201
La Mirada, CA 90638
Phone (562) 903-7339

12675 La Mirada Blvd
La Mirada, CA 90638
Phone (562) 967-2273

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hyejinjae@pihh.allscriptsdirect.net

Organizations & group practices 5

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1851607253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12675 LA MIRADA BLVD",
            "address_2": "SUITE 201",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382200",
            "telephone_number": "562-903-7339",
            "fax_number": "562-944-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12675 LA MIRADA BLVD",
            "address_2": "SUITE 201",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382200",
            "telephone_number": "562-903-7339",
            "fax_number": "562-944-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAE",
        "first_name": "HYEJIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A124121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "JAE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Mirada, CA

Sources for this page

Verify at the official NPI Registry.