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JIN GYO JUNG
NPI 1669226478
Nurse Practitioner in Santa Fe Springs, CA

Active since April 16, 2024PECOS EnrolledAccepts Medicare Assignment
9840 JERSEY AVE UNIT 8, SANTA FE SPRINGS, CA 90670(714) 913-3086 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2024, Apr 16, 2024 (2 updates tracked since 2024).

About Jin Gyo Jung NPPES

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

JIN GYO JUNG (NPI 1669226478) is an individual nurse practitioner in Santa Fe Springs, California, licensed in California (95029707) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669226478
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJIN GYO JUNG
Location Address9840 JERSEY AVE UNIT 8Santa Fe Springs, CA 90670-3176
Mailing Address9840 Jersey Ave Unit 8Santa Fe Springs, CA 90670-3176
Phone(714) 913-3086
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 16, 2024
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1669226478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95029707
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9840 JERSEY AVE UNIT 8, Santa Fe Springs, CA 90670
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jin Gyo Jung 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 ID840730594
PECOS Enrollment IDI20240909001523
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.

Medicare Billing Reassignment

Medicare enrollment records show Jin Gyo Jung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbor Community Clinic Inc
19 mi
Pediatrics
425 S PACIFIC AVE
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1831739614 (310) 547-0202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90670 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jin Gyo Jung's NPI number?

The NPI number for Jin Gyo Jung is 1669226478. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Jin Gyo Jung located?

Jin Gyo Jung practices at 9840 Jersey Ave Unit 8, Santa Fe Springs, CA 90670. The listed phone number is (714) 913-3086.

What is Jin Gyo Jung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jin Gyo Jung enrolled in Medicare?

Yes. Jin Gyo Jung 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.

Which organization bills Medicare for Jin Gyo Jung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Gyo Jung reassigns Medicare benefits to Harbor Community Clinic Inc (San Pedro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jin Gyo Jung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jin Gyo Jung was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.