Active NPI
Thomas C Huang, M.D.
- Otolaryngology Physician
- Tustin, CA
National Provider Identifier
1043201155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G61652
- Practice address
- 2552 Walnut Ave
Ste 130
Tustin, CA 92780-6970 - Phone
- (714) 508-1600
- Fax
- (714) 312-1109
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G61652 | CA | Primary |
Addresses
Primary practice location
2552 Walnut Ave
Ste 130
Tustin, CA 92780-6970
Mailing address
10197 Overhill Dr
Santa Ana, CA 92705
Phone (714) 878-6087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G616520 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050321000667 | CA | Practitioner - Otolaryngology | 4587619747 | Practice locations: Tustin, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of California, Geffen School of Medicine, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2552 Walnut Ave
Suite 130
Tustin, CA 92780-6970
Phone (714) 508-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61652 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Global Medical Center, Inc | Past | Accepting new patients | |
| Tison Medical Group Inc | Past | Accepting new patients | |
| Chapman Medical Center Inc | Past | Accepting new patients | |
| Buena Park Medical Group | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Family Medicine Physician
- Buena Park, CA
- NPI 1477625671
-
- Institutional Pharmacy
- Orange, CA
- NPI 1053354308
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- Specialist
- Santa Ana, CA
- NPI 1528185055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1043201155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10197 OVERHILL DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "714-878-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2552 WALNUT AVE",
"address_2": "STE 130",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806970",
"telephone_number": "714-508-1600",
"fax_number": "714-312-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "THOMAS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G61652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G616520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.