NATHAN JANG MD
NPI 1023694585
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 23, 2021PECOS Enrolled

4647 ZION AVE STE 1116, SAN DIEGO, CA 92120(619) 528-5164 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2021, Apr 8, 2021, Mar 29, 2021 and 1 more (4 updates tracked since 2021).

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About Nathan Jang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN JANG MD (NPI 1023694585) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023694585

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNATHAN JANGCredential: MD

Location Address4647 ZION AVE STE 1116San Diego, CA 92120-2507

Mailing Address4647 Zion Ave Ste 1116San Diego, CA 92120-2507

Phone(619) 528-5164

Sole ProprietorNo

Enumeration DateMarch 23, 2021

Last NPPES UpdateDecember 8, 20214 updates tracked since enumeration

NPPES CertifiedApril 8, 2021

✔ NPI 1023694585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4647 ZION AVE STE 1116, San Diego, CA 92120

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Jang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.