Individual provider Active NPI

Gary Y Huang, MD

  • Internal Medicine Physician
  • Cathedral City, CA
National Provider Identifier
1013960756
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65342 Issued in CA
Practice address
67555 E Palm Canyon Dr Ste C112
Cathedral City, CA 92234-5412
Phone
(760) 773-1680
Fax
(760) 328-9379
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65342 CA Primary

Addresses

Primary practice location

67555 E Palm Canyon Dr Ste C112
Cathedral City, CA 92234-5412

Mailing address

67555 E Palm Canyon Dr Ste C112
Cathedral City, CA 92234-5412
Phone (760) 773-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65342CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Y. Huang, MD a Professional Corporation Internal Medicine Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1013960756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67555 E PALM CANYON DR STE C112",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345412",
            "telephone_number": "760-773-1680",
            "fax_number": "760-328-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67555 E PALM CANYON DR STE C112",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345412",
            "telephone_number": "760-773-1680",
            "fax_number": "760-328-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "GARY",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.