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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jisoon Jang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Usc Care Medical Group, Inc
Same address
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

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 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)
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
ROY ARMAND POBLETE MD
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
DILASHA S NEUPANE MD
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
CHRISTOPHER MICHAEL ORLANDO MD
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
BENJAMIN MEYERS MD
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
AMYTIS TOWFIGHI MD
Psychiatry & Neurology (Neurocritical Care)
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
FRANCISCO ANTONIO GONZALEZ-SCARANO MD
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
CAROLINE ALEXIS CRANE NP
Nurse Practitioner (Acute Care)
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710

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 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.

Where is Jisoon Jang located?

Jisoon Jang practices at 1520 San Pablo St Ste 3000, Los Angeles, CA 90033. The listed phone number is (323) 442-5710.

What is Jisoon Jang's specialty?

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

Is Jisoon Jang enrolled in Medicare?

Yes. Jisoon Jang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jisoon Jang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jisoon Jang reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, 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 Jisoon Jang'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 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 23 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.