JESSICA HYUN HEE AHN MD
NPI 1124722111
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 27, 2023PECOS Enrolled
2516 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2428 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Hyun Hee Ahn Md NPPES

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

JESSICA HYUN HEE AHN MD (NPI 1124722111) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124722111
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA HYUN HEE AHNCredential: MD
Location Address2516 STOCKTON BLVDSacramento, CA 95817-2208
Mailing Address2516 Stockton BlvdSacramento, CA 95817-2208 · (916) 734-2428
Sole ProprietorYes
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
NPI 1124722111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2516 STOCKTON BLVD, Sacramento, CA 95817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Hyun Hee Ahn 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.

Other Providers at the Same Location NPPES 20

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

Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics (Pediatric Infectious Diseases)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics (Pediatric Endocrinology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics (Pediatric Hematology-Oncology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817

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 Jessica Ahn's NPI number?

The NPI number for Jessica Ahn is 1124722111. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Jessica Ahn located?

Jessica Ahn practices at 2516 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2428.

What is Jessica Ahn's specialty?

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

Is Jessica Ahn enrolled in Medicare?

Yes. Jessica Ahn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Ahn was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.