Individual provider Active NPI

Jeffrey C. Hong, MD

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1922049055
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G71794 Issued in CA
Practice address
800 Fairmount Ave
219
Pasadena, CA 91105-3150
Phone
(626) 844-7001
Fax
(626) 844-7089
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G71794 CA Primary

Addresses

Primary practice location

800 Fairmount Ave
219
Pasadena, CA 91105-3150

Mailing address

800 Fairmount Ave
219
Pasadena, CA 91105-3150
Phone (626) 844-7001

Other identifiers 1

IdentifierTypeStateIssuer
00G71794MedicaidCA

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
I20070622000173 CA Practitioner - Ophthalmology 5991804593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Vermont College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Fairmount Ave
Suite 219
Pasadena, CA 91105-3153
Phone (626) 844-7001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G71794CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serra Community Medical Clinic Inc Ophthalmology CurrentSince Apr 1, 2007 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Apr 1, 2007 Accepting new patients
Glendale Adventist Medical Center Ophthalmology Past Accepting new patients
Covina Eyecare Optometry Inc PastSince Apr 30, 2017 Accepting new patients
Covina Eyecare Optometry Inc. Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Pomona Valley Hospital Medical Center Ophthalmology Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1818 Verdugo Blvd
Ste 207
Glendale, CA 91208
Phone (818) 330-7977

8100 Sunland Blvd
Sun Valley, CA 91352
Phone (818) 242-6811

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

Organizations & group practices 9

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1922049055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "219",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-844-7001",
            "fax_number": "626-844-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "219",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-844-7001",
            "fax_number": "626-844-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G71794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G71794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.