1. Home
  2. Directory
  3. California
  4. Garden Grove
  5. Clinic Center
  6. NPI Profile

HONG-AN JAN MD INC
NPI 1841564143
Clinic/Center - Medical Specialty in Garden Grove, CA

Active since March 05, 2012
12555 GARDEN GROVE BLVD, #202, GARDEN GROVE, CA 92843(714) 538-1288 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hong-an Jan Md Inc NPPES

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

HONG-AN JAN MD INC (NPI 1841564143) is a healthcare organization registered as a medical specialty in Garden Grove, California and active in the NPI registry since March 2012. The organization lists Hong-an Jan, President, as its authorized official.

NPPES Registry Identity

NPI1841564143
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameHONG-AN JAN MD INC
Location Address12555 GARDEN GROVE BLVD, #202Garden Grove, CA 92843-1902
Mailing Address12555 Garden Grove Blvd, #202Garden Grove, CA 92843-1902 · (714) 538-1288
Phone(714) 538-1288
Organization SubpartNo
Authorized OfficialHong-an JanPresident · (714) 538-1288
Enumeration DateMarch 5, 2012
Last NPPES UpdateOctober 5, 2012
✔ NPI 1841564143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · A31743
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
12555 GARDEN GROVE BLVD, Garden Grove, CA 92843
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA31743CA
Medicaid00A317430CA

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hong-an Jan Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120425000542Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hong-An Jan MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hong-An Jan, M.D.
Obstetrics/Gynecology
NPI 1255332979
12555 GARDEN GROVE BLVD SUITE 202
Garden Grove, CA 92843
(714) 538-1288
✔ PECOSSame address

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

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 Hong-An Jan MD Inc's NPI number?

The NPI number for Hong-An Jan MD Inc is 1841564143. It was assigned to this organization in the NPPES registry on March 5, 2012.

Where is Hong-An Jan MD Inc located?

Hong-An Jan MD Inc is located at 12555 Garden Grove Blvd #202, Garden Grove, CA 92843. The listed phone number is (714) 538-1288.

What is Hong-An Jan MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Hong-An Jan MD Inc enrolled in Medicare?

Yes. Hong-An Jan MD Inc is registered in the Medicare PECOS enrollment system.

When is Hong-An Jan MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hong-An Jan MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Hong-An Jan MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hong-An Jan MD Inc was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.