JASON J PANG MD INC (NPI# 1336316264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336316264 |
| Entity Type | Organization |
| Organization Name | JASON J PANG MD INC |
| Practice Address |
11039 Acacia Pkwy Garden Grove CA 92840-5126 |
| Mailing Address |
Po Box 3428 Laguna Hills CA 92654-3428 |
| Practice Telephone | 7145343366 |
| Practice Fax Number | 7145343352 |
| Mailing Telephone | 9492060360 |
| Mailing Fax Number | 9499514831 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | JASON J PANG (PRESIDENT) |
| Authorized Official Telephone | 9492060360 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A69884 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A69884 | 01 |
| Street Address |
11039 ACACIA PKWY |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952359002 | Stephen S Park | Internal Medicine | 11039 Acacia Pkwy, Garden Grove, CA 92840 | 2006-05-04 |
| 1316022569 | Robert Sung Chung | Personal Emergency Response Attendant | 11039 Acacia Pkwy, Garden Grove, CA 92840-5126 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245421353 | Hong S. Kim, M.d., Inc | Internal Medicine | 12665 Garden Grove Blvd Ste 503, Garden Grove, CA 92843-1919 | 2007-08-05 |
| 1508885625 | Thanh Minh Nguyen | Internal Medicine | 8919 Westminster Ave, Garden Grove, CA 92844-2609 | 2006-07-19 |
| 1558326694 | Dae-choong Kim | Internal Medicine | 8862 Garden Grove Blvd, 102, Garden Grove, CA 92844-1262 | 2006-04-20 |
| 1902875693 | Herbert S. Tiquia | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-15 |
| 1619964368 | Minh Canh Do | Internal Medicine | 14441 Brookhurst St, Ste 6, Garden Grove, CA 92843-4646 | 2005-09-28 |
| 1952302564 | An Quoc Dang | Internal Medicine | 13872 Harbor Blvd, Unit 1c, Garden Grove, CA 92843-4000 | 2005-08-04 |
| 1780835447 | Sridhar Kadumpalli Reddy | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2008-09-30 |
| 1346420783 | Orange County Vascular Access, A Medical Corporation | Internal Medicine | 12555 Garden Grove Blvd, Ste 200, Garden Grove, CA 92843-1902 | 2007-11-13 |
| 1205934783 | Southern California Kidney Consultants Inc. | Internal Medicine | 12665 Garden Grove Blvd, Ste 211, Garden Grove, CA 92843-1901 | 2006-09-20 |
| 1487623724 | Ramani Nathan | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-17 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on JASON J PANG MD INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.