Miriam Jang, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A050103 Issued in CA

Practice address

528 Biscayne Drive
San Rafael, CA 94901-8321

Phone

(415) 457-3193

Fax

(415) 459-2293

NPI assigned

Aug 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1962693507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 BISCAYNE DRIVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949018321",
            "telephone_number": "415-457-3193",
            "fax_number": "415-459-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 BISCAYNE DRIVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949018321",
            "telephone_number": "415-457-3193",
            "fax_number": "415-459-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A050103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline S Chan DO a Medical Corporation
• Ruth Jaeger, LCSW
• James D Taylor MD Inc
• Meghan L James
• Hyunae Jang, D.M.D
• Rachel Andrea Janin, P.T.
• Nancy Greathead Janko, MFTI
• Bradley Glenn Jann, D.P.M
• Laura Ann Janssen, NP RN CNM
• Alan Nmi Jarach, MD

• General Practice Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.