Individual provider Active NPI

Georgeanna J Huang, M.D.

  • Plastic Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1023021367
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A73715 Issued in CA
Practice address
1000 Newbury Rd Ste 165
Thousand Oaks, CA 91320-6439
Phone
(805) 496-9976
Fax
(805) 496-9970
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A73715 CA Primary

Addresses

Primary practice location

1000 Newbury Rd Ste 165
Thousand Oaks, CA 91320-6439

Mailing address

1000 Newbury Rd Ste 165
Thousand Oaks, CA 91320-6439
Phone (805) 496-9976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061023000319 CA Practitioner - Plastic and Reconstructive Surgery 5496752149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Northeastern Ohio University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Newbury Rd
Suite 165
Thousand Oaks, CA 91320-6439
Phone (805) 496-9976

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy59
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73715CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgeanna J Huang MD Professional Corporation Plastic Surgery CurrentSince Sep 1, 2006 Accepting new patients
West Hills Hospital Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1000 Newbury Rd
Ste 165
Thousand Oaks, CA 91320
Phone (805) 449-1778

2190 Lynn Rd
Ste 240
Thousand Oaks, CA 91360
Phone (805) 370-1965

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1912/brand/1/csg/22/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIFIAD/Endpoint/BIFIAD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1023021367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 165",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913206439",
            "telephone_number": "805-496-9976",
            "fax_number": "805-496-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 165",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913206439",
            "telephone_number": "805-496-9976",
            "fax_number": "805-496-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "GEORGEANNA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A73715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.