DR. HONG-AN JAN M.D.
NPI 1255332979
Specialist in Garden Grove, CA

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
12555 GARDEN GROVE BLVD, SUITE 202, GARDEN GROVE, CA 92843(714) 538-1288(714) 538-4913 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Hong-an Jan M.d. NPPES

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

DR. HONG-AN JAN M.D. (NPI 1255332979) is an individual specialist in Garden Grove, California, licensed in California (A31743) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1967).

NPPES Registry Identity

NPI1255332979
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. HONG-AN JANCredential: M.D.
Location Address12555 GARDEN GROVE BLVD, SUITE 202Garden Grove, CA 92843-1902
Mailing Address12555 Garden Grove Blvd, Suite 202Garden Grove, CA 92843-1902 · (714) 538-1288 · Fax (714) 538-4913
Fax(714) 538-4913
Sole ProprietorYes
Medical School CMSOtherGraduated 1967
Enumeration DateAugust 3, 2005
Last NPPES UpdateOctober 5, 2012
NPI 1255332979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A31743
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12555 GARDEN GROVE BLVD, Garden Grove, CA 92843

Other Identifiers 2

Medicare ID-Type UnspecifiedA31743CA
Medicaid00A317430CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Hong-an Jan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193987816
PECOS Enrollment IDI20120425000614
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.

Surgery (Vascular Surgery)
12555 GARDEN GROVE BLVD, SUITE 403
GARDEN GROVE, CA 92843
Internal Medicine (Infectious Disease)
12555 GARDEN GROVE BLVD, #405
GARDEN GROVE, CA 92843
Pediatrics
12555 GARDEN GROVE BLVD, SUITE 404
GARDEN GROVE, CA 92843
Specialist
12555 GARDEN GROVE BLVD, SUITE 302
GARDEN GROVE, CA 92843
Internal Medicine (Infectious Disease)
12555 GARDEN GROVE BLVD, STE 405
GARDEN GROVE, CA 92843
Physician Assistant
12555 GARDEN GROVE BLVD, #206
GARDEN GROVE, CA 92843
Clinic/Center
12555 GARDEN GROVE BLVD, #404
GARDEN GROVE, CA 92843
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
12555 GARDEN GROVE BLVD, SUITE 100
GARDEN GROVE, CA 92843

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 Hong-an Jan's NPI number?

The NPI number for Hong-an Jan is 1255332979. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Hong-an Jan located?

Hong-an Jan practices at 12555 Garden Grove Blvd Suite 202, Garden Grove, CA 92843. The listed phone number is (714) 538-1288.

What is Hong-an Jan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Hong-an Jan enrolled in Medicare?

Yes. Hong-an Jan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hong-an Jan was last updated on October 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.