JIUN RONG PENG (NPI# 1477540599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477540599 |
| Entity Type | Individual |
| Full Name | JIUN RONG PENG |
| Credential | MD |
| Practice Address |
280 S Main St Suite 200 Orange CA 92868-3852 |
| Mailing Address |
Po Box 905 Orange CA 92856-6905 |
| Practice Telephone | 7146344567 |
| Practice Fax Number | 7146344569 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2015-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A34348 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
A34348 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
280 S MAIN ST SUITE 200 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782264 | Main Street Specialty Surgery Center | Clinic/Center | 280 S Main St, Suite 100, Orange, CA 92868-3852 | 2005-09-30 |
| 1821534934 | Linda Ly Zaragoza | Physician Assistant | 280 S Main St, Ste 200, Orange, CA 92868-3852 | 2017-01-12 |
| 1891151148 | Stefan Alexander Dunauskas | Nurse Practitioner | 280 S Main St, Orange, CA 92868-3852 | 2015-12-31 |
| 1295110955 | Ferin Zampese | Physical Therapist | 280 S Main St, Ste 200, Orange, CA 92868-3852 | 2015-07-23 |
| 1962887620 | Diane Dobner | Occupational Therapist | 280 S Main St, Ste 200, Orange, CA 92868-3852 | 2015-07-23 |
| 1538506134 | Natalie Adair | Physician Assistant | 280 S Main St, Suite 200, Orange, CA 92868-3852 | 2013-05-23 |
| 1629352455 | Nicholas Bracken Robertson | Orthopaedic Surgery | 280 S Main St, Ste 200, Orange, CA 92868-3852 | 2011-09-28 |
| 1467751685 | Jonathan Robert Manning Kaplan | Orthopaedic Surgery | 280 S Main St, Ste 200, Orange, CA 92868-3852 | 2011-03-28 |
| 1982900890 | Jay Patel | Orthopaedic Surgery | 280 S Main St, Orange, CA 92868-3852 | 2011-02-10 |
| 1487884607 | Jason H Lee | Orthopaedic Surgery | 280 S Main St, Suite 200, Orange, CA 92868-3852 | 2009-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562236 | Walk Run Randall | Orthopaedic Surgery | 28829 Pujol St Apt 718, Temecula, CA 92590-6710 | 2020-03-10 |
| 1003469370 | Total Care Podiatry Services, Inc. | Orthopaedic Surgery | 1663 Eucalyptus Ct, Los Banos, CA 93635-6201 | 2019-07-16 |
| 1508333758 | Lc Loggins | Orthopaedic Surgery | 4041 Altamont Ave, Oakland, CA 94605-2603 | 2018-10-25 |
| 1487996864 | Edward Leo Garr | Orthopaedic Surgery | 1811 Sirrine Dr, Santa Ana, CA 92705-1594 | 2013-03-22 |
| 1124368667 | Candice Lillian Brady | Orthopaedic Surgery | 400 Camarillo Ranch Rd Ste 101, Camarillo, CA 93012-5901 | 2013-02-20 |
| 1477855955 | Desert Orthopedic Center A Medical Group Inc | Orthopaedic Surgery | 45280 Seeley Dr Fl 2 Rm 3lq, La Quinta, CA 92253-6834 | 2010-12-03 |
| 1184710642 | Clifford D Merkel | Orthopaedic Surgery | 1901 West Lugonia Avenue, Suite 120, Redlandss, CA 92374 | 2006-10-04 |
| 1265462337 | Osep Armagan | Orthopaedic Surgery | 141 Triunfo Canyon Rd, Suite 101, Westlake Village, CA 91361-2525 | 2006-07-04 |
| 1184650921 | Disorders of The Foot and Ankle A Medical Corporation | Orthopaedic Surgery | 4130 La Jolla Village Dr., Suite 300, La Jolla, CA 92037-1481 | 2006-06-23 |
| 1417925462 | Kenneth S. Jung II | Orthopaedic Surgery | 6801 Park Terrace Drive, Los Angeles, CA 90045 | 2006-03-08 |
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| 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.