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JASON J PANG MD INC
NPI 1336316264
Internal Medicine - Nephrology in Garden Grove, CA

Active since May 09, 2008CLIA 05D2017328 · Waiver
11039 ACACIA PKWY, GARDEN GROVE, CA 92840(714) 534-3366(714) 534-3352 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason J Pang Md Inc NPPES

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

JASON J PANG MD INC (NPI 1336316264) is a healthcare organization registered as a nephrology in Garden Grove, California and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Jason J Pang, President, as its authorized official.

NPPES Registry Identity

NPI1336316264
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameJASON J PANG MD INC
Location Address11039 ACACIA PKWYGarden Grove, CA 92840-5126
Mailing AddressPo Box 3428Laguna Hills, CA 92654-3428 · (949) 206-0360 · Fax (949) 951-4831
Phone(714) 534-3366
Fax(714) 534-3352
Organization SubpartNo
Authorized OfficialJason J PangPresident · (949) 206-0360
Enumeration DateMay 9, 2008
Last NPPES UpdateMarch 30, 2009
✔ NPI 1336316264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A69884
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

11039 ACACIA PKWY, Garden Grove, CA 92840
Open in Google Maps ↗

Other Identifiers 1

OtherA69884CA · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2017328

Jason J Pang, MD Inc · Garden Grove, CA
Active · expires Dec 18, 2026
CLIA Number05D2017328
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorJason J. Pang
Laboratory Phone(714) 534-3366
Laboratory LocationJason J Pang, MD Inc11039 Acacia Parkway, Garden Grove, CA 92840
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. ROBERT SUNG CHUNG M.D.
Personal Emergency Response Attendant
11039 ACACIA PKWY
GARDEN GROVE, CA 92840
Orange County (714) 594-8719
STEPHEN S PARK MD
Internal Medicine
11039 ACACIA PKWY
GARDEN GROVE, CA 92840
Orange County (714) 534-3366

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 Jason J Pang MD Inc's NPI number?

The NPI number for Jason J Pang MD Inc is 1336316264. It was assigned to this organization in the NPPES registry on May 9, 2008.

Where is Jason J Pang MD Inc located?

Jason J Pang MD Inc is located at 11039 Acacia Pkwy, Garden Grove, CA 92840. The listed phone number is (714) 534-3366.

What is Jason J Pang MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Jason J Pang MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2017328) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jason J Pang MD Inc was last updated on March 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.