Individual provider Active NPI

Jeffrey John Ing, M.D.

  • Ophthalmology Physician
  • Stockton, CA
National Provider Identifier
1871600114
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M-2308 Issued in GU
Practice address
1617 Saint Marks PLZ
Suite D
Stockton, CA 95207-6423
Phone
(209) 478-1797
Fax
(209) 478-1224
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M-2308 GU Primary
Ophthalmology Physician 207W00000X G78322 CA

Addresses

Primary practice location

1617 Saint Marks PLZ
Suite D
Stockton, CA 95207-6423

Mailing address

388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881

Other identifiers 1

IdentifierTypeStateIssuer
00G783220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080619000561 CA Practitioner - Ophthalmology 8426129370 Reassigns benefits to 3 organizations
I20220510002357 GU Practitioner - Ophthalmology 8426129370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Conference Corp of SdaGroup PAC ID 6608777628, 52 clinicians

Practice addresses (Care Compare)

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78322CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Feb 1, 2020 Accepting new patients
Delta Eye Medical Group, Inc. Ophthalmology CurrentSince Jan 1, 2007 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Feb 1, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Ophthalmology Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Delta Eye Medical Group, Inc. Ophthalmology CurrentSince Jan 1, 2007 Accepting new patients
General Conference Corp of Sda CurrentSince Apr 13, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
County of San Joaquin Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients
Loma Linda University Children's Hospital Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

521 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 334-5886

11370 Anderson St
#1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

4244 Riverwalk Pkwy
Ste 100
Riverside, CA 92505
Phone (909) 558-2154

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

1617 Saint Marks Plz
Ste D
Stockton, CA 95207
Phone (209) 478-1797

2160 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (209) 835-2227

Interoperability endpoints

  • Direct secure messaging: jeffrey.ing@adventistclinic.direct.eyemdemr.com
  • Direct secure messaging: jing277615@direct.llu.edu
  • Direct secure messaging: jeffrey.ing.1@31775.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1871600114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 YPAO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133701",
            "telephone_number": "671-646-8881",
            "fax_number": "671-646-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SAINT MARKS PLZ",
            "address_2": "SUITE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076423",
            "telephone_number": "209-478-1797",
            "fax_number": "209-478-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ING",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GU",
            "license": "M-2308",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G78322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G783220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.