JISUN HONG
NPI 1851776686
Family Medicine in Los Angeles, CA

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment
12001 W WASHINGTON BLVD, LOS ANGELES, CA 90066(317) 957-9050 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2021, Dec 6, 2018 (2 updates tracked since 2018).

About Jisun Hong NPPES

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

JISUN HONG (NPI 1851776686) is an individual family medicine provider in Los Angeles, California, licensed in California (20A16714) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851776686
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJISUN HONG
Location Address12001 W WASHINGTON BLVDLos Angeles, CA 90066-5801
Mailing Address12001 W Washington BlvdLos Angeles, CA 90066-5801
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 22, 2015
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPI 1851776686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A16714
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11018339A (CT)
12001 W WASHINGTON BLVD, Los Angeles, CA 90066

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jisun Hong 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 ID5092012179
PECOS Enrollment IDI20190625001125
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 90066 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
12001 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Internal Medicine
12001 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Marriage & Family Therapist
12001 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Social Worker (Clinical)
12001 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Social Worker (Clinical)
12001 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Marriage & Family Therapist
12001 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Pharmacist
12001 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Marriage & Family Therapist
12001 W WASHINGTON BLVD
LOS ANGELES, CA 90066

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 Jisun Hong's NPI number?

The NPI number for Jisun Hong is 1851776686. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Where is Jisun Hong located?

Jisun Hong practices at 12001 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (317) 957-9050.

What is Jisun Hong's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jisun Hong enrolled in Medicare?

Yes. Jisun Hong 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.

When was this NPI record last updated?

The NPPES record for Jisun Hong was last updated on November 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.