Individual provider Active NPI

Jane Kong, M.D.

  • Family Medicine Physician
  • Diamond Bar, CA
National Provider Identifier
1912910357
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97227 Issued in CA
Practice address
20627 Golden Springs Dr Ste 1B
Diamond Bar, CA 91789-4815
Phone
(909) 480-0200
Fax
(909) 480-0201
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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 A97227 CA Primary

Addresses

Primary practice location

20627 Golden Springs Dr Ste 1B
Diamond Bar, CA 91789-4815

Mailing address

866 S Westmoreland Ave Ste 101
Los Angeles, CA 90005-2372
Phone (800) 821-5675

Other practice location 1

11637 The Plz Ste 45
Norwalk, CA 90650-3930
Phone (562) 809-0142

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
I20150522002071 CA Practitioner - Family Practice 4284632894 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2003
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)

12214 Lakewood Blvd
Suite 110
Downey, CA 90242-2663
Phone (562) 904-4430

12400 Bloomfield Ave
Santa Fe Springs, CA 90670-4750
Phone (562) 967-2820

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

7851 Walker St
Suite 103
La Palma, CA 90623-1734
Phone (714) 345-3023

Hospital & facility affiliations

  • Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
  • Good People Home Health, Inc. Home health agency, Fullerton, CA, CCN 757253

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
A97227CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Family Medicine Current Accepting new patients
Jonah Medical Group, Inc. Family Medicine CurrentSince Jan 2, 2025 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Apr 28, 2025 Accepting new patients
Karis Medical Group la Palma CurrentSince Sep 1, 2025 Accepting new patients
Good Samaritan Hospital, L.P. PastSince Nov 24, 2024 Accepting new patients

Locations

6261 Stanton Ave
Buena Park, CA 90621
Phone (714) 739-4325

15775 Laguna Canyon Rd
Irvine, CA 92618
Phone (617) 455-2048

7851 Walker St
Ste 103
La Palma, CA 90623
Phone (714) 345-3023

866 S Westmoreland Ave
Ste 101
Los Angeles, CA 90005
Phone (213) 380-2266

3663 W 6th St
Ste 103
Los Angeles, CA 90020
Phone (213) 388-5144

11637 The Plz
Ste 45
Norwalk, CA 90650
Phone (562) 318-0810

20627 Golden Springs Dr
Ste 1B
Walnut, CA 91789
Phone (800) 821-5675

20627 Golden Springs Dr
Ste D
Walnut, CA 91789
Phone (909) 480-0200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: janekong@pihh.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD

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 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1912910357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 S WESTMORELAND AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052372",
            "telephone_number": "800-821-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20627 GOLDEN SPRINGS DR STE 1B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917894815",
            "telephone_number": "909-480-0200",
            "fax_number": "909-480-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11637 The Plz Ste 45",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906503930",
            "country_code": "US",
            "telephone_number": "562-809-0142",
            "fax_number": "562-809-2672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.