JAMES ALLEN JENGO (NPI# 1245324201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245324201 |
| Entity Type | Individual |
| Full Name | JAMES ALLEN JENGO |
| Credential | MD |
| Practice Address |
1045 Atlantic Ave Ste 611 Long Beach CA 90813-3414 |
| Practice Telephone | 5624320111 |
| Practice Fax Number | 5622760799 |
| Mailing Telephone | 5624320111 |
| Mailing Fax Number | 5622760799 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G24864 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1045 ATLANTIC AVE STE 611 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457839748 | Casey Lyn Mosard | Nurse Practitioner | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2018-07-30 |
| 1275040412 | Serap Sobnosky Md Inc | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2018-01-09 |
| 1598214314 | Todd K. Zynda, Do Inc. | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2016-09-22 |
| 1669618393 | Todd Kenneth Zynda | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813 | 2008-12-30 |
| 1902924152 | Nikhil Kapoor | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2007-03-27 |
| 1447302823 | Serap Sobnosky | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457440083 | Emmanuel Constantine Vasilomanolakis | Internal Medicine | 1760 Termino Avenue, Suite 314, Long Beach, CA 90804 | 2006-10-12 |
| 1407947393 | Amrit Singh | Internal Medicine | 6489 E Surrey Dr, Long Beach, CA 90815-4744 | 2006-09-27 |
| 1528166105 | Minh Ngoc Nguyen | Internal Medicine | 411 E Pacific Coast Hwy, Long Beach, CA 90806-6218 | 2006-09-20 |
| 1477584191 | Rex Jay Winters | Internal Medicine | 2898 Linden Avenue, Long Beach, CA 90806 | 2006-07-05 |
| 1205863701 | Winfried Waider | Internal Medicine | 2898 Linden Ave, Long Beach, CA 90806 | 2006-06-28 |
| 1205889144 | Regional Physicians Medical Group Inc | Internal Medicine | 1974 Santa Fe Ave, Long Beach, CA 90810-4064 | 2006-05-19 |
| 1821058124 | Lee B Weitzman | Internal Medicine | 325 W Park Ave, Long Beach, NY 11561-3223 | 2006-03-23 |
| 1700854270 | Jeffrey P Schaffer | Internal Medicine | 760 E Park Ave, Long Beach, NY 11561-2605 | 2006-03-10 |
| 1629071063 | Paul Stanley Greenberg | Internal Medicine | 6531 E Mantova St, Long Beach, CA 90815-4661 | 2005-05-31 |
| 1275040412 | Serap Sobnosky Md Inc | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2018-01-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on JAMES ALLEN JENGO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.