JINHO JUNG
NPI 1174471312
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 20, 2026PECOS Enrolled
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 990-5799 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2026, Mar 20, 2026 (2 updates tracked since 2026).

About Jinho Jung NPPES

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

JINHO JUNG (NPI 1174471312) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174471312
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJINHO JUNG
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135
Mailing Address4445 Magnolia AveRiverside, CA 92501-4135 · (951) 990-5799
Sole ProprietorYes
Enumeration DateMarch 20, 2026
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1174471312 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.
4445 MAGNOLIA AVE, Riverside, CA 92501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jinho Jung 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.

Physician Assistant
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Hospitalist
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Radiology (Diagnostic Radiology)
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Emergency Medicine
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501

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 Jinho Jung's NPI number?

The NPI number for Jinho Jung is 1174471312. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is Jinho Jung located?

Jinho Jung practices at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 990-5799.

What is Jinho Jung's specialty?

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

Is Jinho Jung enrolled in Medicare?

Yes. Jinho Jung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jinho Jung was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.