Jonathan Van Hoang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105394 Issued in CA

Practice address

49271 Grapefruit Blvd Ste 1
Coachella, CA 92236-1485

Phone

(760) 398-3636

Fax

(760) 398-2220

NPI assigned

Sep 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cindy Tran, DDS, Inc.

  • Dental Clinic/Center
  • Coachella, CA
  • NPI 1598881781
  NPD (past)

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1871107201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13932 LAUREL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927031433",
            "telephone_number": "714-478-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49271 GRAPEFRUIT BLVD STE 1",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361485",
            "telephone_number": "760-398-3636",
            "fax_number": "760-398-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "JONATHAN",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105394",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Hernandez Lozoya
• Alexis Hernandez
• Gloria Hernandez
• Paulette Hernandez
• Yasmin Ofelia Hernandez
• Janice Holman
• Nihra A Hulbert, M.D.
• Carmen Isabel Ibarra
• Walid Ibrahim
• Jenny Im

• General Practice Dentistry in Coachella, CA
• Providers in Coachella, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.