Organization Active NPI

Roxanne Hon MD, Inc.

  • Physical Medicine & Rehabilitation Physician
  • La Mesa, CA
National Provider Identifier
1922021278
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A56292 Issued in CA
Legal business name
ROXANNE HON MD, INC.
Practice address
8030 La Mesa Blvd
#143
La Mesa, CA 91942-0335
Phone
(619) 697-7900
Fax
(619) 462-6428
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Roxanne Audrey Hon, MDNPI 1336149616
Title
Owner
Phone
(619) 697-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X A56292 CA Primary

Addresses

Primary practice location

8030 La Mesa Blvd
#143
La Mesa, CA 91942-0335

Mailing address

8030 La Mesa Blvd
#143
La Mesa, CA 91942-0335
Phone (619) 697-7900

Other identifiers 1

IdentifierTypeStateIssuer
1336149616OtherCAIND. NPI

Other names 1

  • Roxanne Hon MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061122000224 CA Part B Supplier - Clinic/Group Practice 9830197003 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

5555 Jackson Dr
Ste 205
La Mesa, CA 91942
Phone (619) 697-7900

8851 Center Dr
Ste 200
La Mesa, CA 91942
Phone (619) 597-7691

8851 Center Dr
Ste 625
La Mesa, CA 91942
Phone (619) 697-7900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1922021278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 LA MESA BLVD",
            "address_2": "#143",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420335",
            "telephone_number": "619-697-7900",
            "fax_number": "619-462-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 LA MESA BLVD",
            "address_2": "#143",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420335",
            "telephone_number": "619-697-7900",
            "fax_number": "619-462-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE HON MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "HON",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-697-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A56292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. NPI",
            "identifier": "1336149616",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roxanne Hon MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.