Organization Active NPI

Johntin Medical Group

  • Health Maintenance Organization
  • Rowland Heights, CA
National Provider Identifier
1992861058
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
G61730 Issued in CA
Legal business name
JOHNTIN MEDICAL GROUP
Practice address
1722 Desire Ave Ste 202
Rowland Heights, CA 91748-2970
Phone
(626) 913-1888
Fax
(626) 913-1999
NPI assigned
Dec 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Tin Yau Yung, M.D.NPI 1356407415
Title
Medical Director
Phone
(626) 913-1888

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
Health Maintenance Organization 302R00000X G61730 CA Primary

Addresses

Primary practice location

1722 Desire Ave Ste 202
Rowland Heights, CA 91748-2970

Mailing address

1722 Desire Ave
Ste 202
Rowland Heights, CA 91748-2970
Phone (626) 913-1888

Other names 1

  • ASSOCIATED HEALTHCARE MANAGEMENT CORP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000229 CA Part B Supplier - Clinic/Group Practice 8123921772 Receives reassigned benefits from 1 practitioner
Practice locations: Rowland Heights, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0867147Johntin Medical Group Inc1722 Desire Avenue, Ste 202, Rowland Heights, CA 91748Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

18397 Colima Rd
Rowland Heights, CA 91748
Phone (626) 581-8555

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": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1992861058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 DESIRE AVE",
            "address_2": "STE 202",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482970",
            "telephone_number": "626-913-1888",
            "fax_number": "626-913-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 DESIRE AVE STE 202",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482970",
            "telephone_number": "626-913-1888",
            "fax_number": "626-913-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNTIN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "YUNG",
        "authorized_official_first_name": "TIN",
        "authorized_official_middle_name": "YAU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-913-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G61730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATED HEALTHCARE MANAGEMENT CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.