Individual provider Active NPI

Jack Hugh Florin, MD

  • Neurology Physician
  • Fullerton, CA
National Provider Identifier
1912990656
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G26561 Issued in CA
Practice address
100 Laguna Rd
Ste 208
Fullerton, CA 92835-3633
Phone
(714) 738-0800
Fax
(714) 738-3758
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G26561 CA Primary

Addresses

Primary practice location

100 Laguna Rd
Ste 208
Fullerton, CA 92835-3633

Mailing address

100 Laguna Rd
Ste 208
Fullerton, CA 92835-3633
Phone (714) 738-0800

Other identifiers 1

IdentifierTypeStateIssuer
YYY48881YMedicaidCA

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
I20120125000646 CA Practitioner - Neurology 1052300605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Laguna Rd
Suite 208
Fullerton, CA 92835-3633
Phone (714) 738-0800

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G26561CAMDNeurology Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Jack H Florin MD Inc Neurology CurrentSince Jan 1, 1973 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients

Locations

100 Laguna Rd
Ste 208
Fullerton, CA 92835
Phone (714) 738-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jhf102pcs1196@primeclinicalsystems.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912990656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAGUNA RD",
            "address_2": "STE 208",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353633",
            "telephone_number": "714-738-0800",
            "fax_number": "714-738-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAGUNA RD",
            "address_2": "STE 208",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353633",
            "telephone_number": "714-738-0800",
            "fax_number": "714-738-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIN",
        "first_name": "JACK",
        "middle_name": "HUGH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G26561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY48881Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.