Jimmy C. Huang, D.O. a Professional Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6713 Issued in CA

Legal business name

JIMMY C. HUANG, D.O. A PROFESSIONAL CORP.

Practice address

2210 Santa Monica Blvd.
Suite C
Santa Monica, CA 90404

Phone

(310) 828-1708

Fax

(310) 828-1705

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy C. Huang, D.O.NPI 1780649442

Title

Ceo

Phone

(323) 292-0211

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy C. Huang, D.O.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1780649442
  Medicare reassignment Care Compare group NPD Authorized official
• Roberto Carpio

  • Family Nurse Practitioner
  • North Hills, CA
  • NPI 1215337084
  Medicare reassignment Care Compare group NPD
• Ling Le, NP

  • Primary Care Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1780765420
  Medicare reassignment Care Compare group NPD
• Joseph Essex Rojo, PAC

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1184736274
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1023205010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 26TH STREET",
            "address_2": "SUITE 570",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-453-3668",
            "fax_number": "310-453-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SANTA MONICA BLVD.",
            "address_2": "SUITE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-828-1708",
            "fax_number": "310-828-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY C. HUANG, D.O. A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-292-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6713",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX67131",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOAX67131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Layla Jillood, PSYD
• Anielkha Mercedes Jimenez Tijerino, LCSW96417
• Elia I Jimenez, PH.D.
• Ivette Andrea Jimenez, NURSE PRACTITIONER
• Francisco Thomas Jimeno, PT
• JJ&R Emergency Medical Group of California, Inc.
• Joan Shaver
• John Loo Joe, PT
• Joel Gould, D.D.S.
• Joel M. Matta, MD, Inc.

• Family Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.