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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nathan Jang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY MANNARINO MD
Emergency Medicine
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (442) 385-7000
KATHERINE JOO YEON AN DO
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (619) 528-5164
MADISON DEMMER
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (817) 653-3205
DOMONIQUE JANAE PATTERSON MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (833) 574-2273
ASHLEY BARLEY MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (808) 927-6227
DR. KRISTEL RAE CHOY MD, MS
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (619) 528-5164
JOSEPH ANDREW GERONDALE
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (714) 580-9636
LINDSAY BUCKLIN MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (833) 574-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Jang's NPI number?

The NPI number for Nathan Jang is 1023694585. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Nathan Jang located?

Nathan Jang practices at 4647 Zion Ave Ste 1116, San Diego, CA 92120. The listed phone number is (619) 528-5164.

What is Nathan Jang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Jang enrolled in Medicare?

Yes. Nathan Jang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathan Jang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Jang reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Jang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Jang was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.