1. Home
  2. Directory
  3. California
  4. Fresno
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JI IL JEON MD
NPI 1710629043
Student in an Organized Health Care Education/Training Program in Fresno, CA

Active since April 07, 2022
155 N FRESNO ST # 307, FRESNO, CA 93701(559) 459-4502 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2026, Apr 4, 2025, Apr 7, 2022 (3 updates tracked since 2022).

About Ji Il Jeon Md NPPES

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

JI IL JEON MD (NPI 1710629043) is an individual student in an organized health care education/training program in Fresno, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1710629043
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJI IL JEONCredential: MD
Location Address155 N FRESNO ST # 307Fresno, CA 93701-2302
Mailing Address155 N Fresno St # 307Fresno, CA 93701-2302
Phone(559) 459-4502
Sole ProprietorNo
Enumeration DateApril 7, 2022
Last NPPES UpdateJuly 25, 20263 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
✔ NPI 1710629043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License A201109 (CA)
155 N FRESNO ST # 307, Fresno, CA 93701
Open in Google Maps ↗

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 Ji Il Jeon's NPI number?

The NPI number for Ji Il Jeon is 1710629043. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Ji Il Jeon located?

Ji Il Jeon practices at 155 N Fresno St # 307, Fresno, CA 93701. The listed phone number is (559) 459-4502.

What is Ji Il Jeon's specialty?

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

When was this NPI record last updated?

The NPPES record for Ji Il Jeon was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.