JISOON JANG NP
NPI 1760174916
Nurse Practitioner - Acute Care in Los Angeles, CA

Q: What is Jisoon Jang's NPI number?

The NPI number for Jisoon Jang is 1760174916. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Q: What is Jisoon Jang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jisoon Jang was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since May 25, 2023PECOS Enrolled

1520 SAN PABLO ST STE 3000, LOS ANGELES, CA 90033(323) 442-5710 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 10, 2024, Aug 17, 2023, May 25, 2023 (3 updates tracked since 2023).

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About Jisoon Jang Np NPPES

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

JISOON JANG NP (NPI 1760174916) is an individual acute care provider in Los Angeles, California, licensed in California (95025319) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760174916

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJISOON JANGCredential: NP

Location Address1520 SAN PABLO ST STE 3000Los Angeles, CA 90033-5315

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5710

Phone(323) 442-5710

Sole ProprietorNo

Enumeration DateMay 25, 2023

Last NPPES UpdateNovember 10, 20243 updates tracked since enumeration

NPPES CertifiedNovember 10, 2024

✔ NPI 1760174916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95025319

1520 SAN PABLO ST STE 3000, Los Angeles, CA 90033

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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)

Jisoon Jang Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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.

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. RYAN JAMES MCGINN MD, MASC, FRCP(C)

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