Organization Active NPI

Ching-Chih David Huang M.D.Inc a

  • Specialist
  • Pomona, CA
National Provider Identifier
1033139647
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHING-CHIH DAVID HUANG M.D.INC A
Practice address
160 E Artesia St Ste 235
Pomona, CA 91767-2908
Phone
(909) 397-5205
Fax
(909) 397-5208
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Ching-Chih David Huang, MDNPI 1285776187
Title
Owner
Phone
(909) 397-5205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

160 E Artesia St Ste 235
Pomona, CA 91767-2908

Mailing address

160 E Artesia Ave, #235
Pomona, CA 91767-2900
Phone (909) 397-5205

Other identifiers 1

IdentifierTypeStateIssuer
00A477540MedicaidCA

Other names 1

  • Sunshine Pediatric Medical Group Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0696539Sunshine Pediatric Medical Group160 East Artesia # 235, Pomona, CA 91767Certificate of waiverJun 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ching-Chih David Huang Mdinc a2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 E Artesia St
Ste 235
Pomona, CA 91767
Phone (909) 397-5205

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1033139647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA AVE, #235",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672900",
            "telephone_number": "909-397-5205",
            "fax_number": "909-397-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 235",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672908",
            "telephone_number": "909-397-5205",
            "fax_number": "909-397-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHING-CHIH DAVID HUANG M.D.INC A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "CHING-CHIH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-397-5205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A477540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Pediatric Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.