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

Last updated

Sep 9, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cindy Tran, DDS, Inc.

  dba SunShine Dental Group

  • 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.