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ANTHONY JUN KI JEONG
NPI 1215738182
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 24, 2025PECOS Enrolled
1200 N STATE ST, LOS ANGELES, CA 90089(323) 409-5555 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Jun Ki Jeong NPPES

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

ANTHONY JUN KI JEONG (NPI 1215738182) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215738182
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTHONY JUN KI JEONG
Location Address1200 N STATE STLos Angeles, CA 90089-1001
Mailing Address1200 N State St Opd 1p10Los Angeles, CA 90089-1001 · (323) 409-5555
Phone(323) 409-5555
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1215738182 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.
1200 N STATE ST, Los Angeles, CA 90089
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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)

Anthony Jun Ki Jeong 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.

DR. EISHA ANNE CHRISTIAN MD
Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7421
LAURA MARIA VELEZ TURIZO MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7053
DR. CASSIDY BENDER MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (626) 825-4601
ARGEREY STAPAKIS
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-5707
ANH-THO ANTOINETTE THI NGUYEN
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (714) 309-6525
JESSICA HONG
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7556
JOOYEON KIM
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 341-3128
MELISSA GRACE MYO MD
Obstetrics & Gynecology
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-6240

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 Anthony Jeong's NPI number?

The NPI number for Anthony Jeong is 1215738182. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Anthony Jeong located?

Anthony Jeong practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (323) 409-5555.

What is Anthony Jeong's specialty?

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

Is Anthony Jeong enrolled in Medicare?

Yes. Anthony Jeong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Jeong was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.